[Avulsion damage of penile and scrotal skin]

Five cases of severe avulsion damage of penile and scrotal skin were treated from 1978 to 1988. One case was complicated by disruption of arteria and vena iliaca externa, 2 cases were complicated by rupture of testes and 2 cases by pelvic fracture and urethral damage. Three cases were cured by utilizing femoral island flap. In the other 2 cases treated with debridement, the damaged skin appeared necrotic postoperatively and satisfactory results were achieved by utilizing a mid-thick stamp-shaped flap technique. All the 5 cases were followed up for 1-10 years and normal sexual function and fertility were restored.