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Rotary mutiflaps for defect reconstruction in penoscrotal extramammary Paget's disease
Qing Yang1, Lihang Yu, Linhui Wang
1Department of Urology, Changhai Hospital, the Second Military Medical University, Shanghai, China.
Purpose:
To describe a method of using rotary mutiflaps from scrotum, penis, and mons pubis to reconstruct large skin defect after local wide excision of penoscrotal extramammary Paget's disease (EMPD).
Materials And Methods:
We reviewed our databases for the period between 1997 and 2005, and identified 5 cases of penoscrotal EMPD, all male aged between 56 to 69 (mean 63.2 years), who underwent local wild excision with subsequent reconstruction by rotary multiflaps.
Results:
All flaps survived with satisfactory functional and aesthetic results. No signs of recurrent disease or metastasis occurred during the follow-up period ranging from 5 to 36 months (mean 20 months).
Conclusions:
Rotary mutiflaps is a safe and effective procedure for the reconstruction of large defect in penoscrotal EMPD.
