Burn of silicon-injected penis treated with dartos musculocutaneous flap

A dartos musculocutaneous flap was used to cover a defect of a silicone-treated granulomatous penis after a burn. A 45-year-old man presented with a 4 × 5 cm skin defect on the ventral surface of the penis. A dartos musculocutaneous tubed flap was prepared from the testicle and transferred to the defect of the penis. The donor site was closed directly. On postoperative day 11, a delay procedure was started (from 1 N to 2.3 N under 85-90% oxygen saturation). On postoperative day 19, the flap was divided completely. The defect of the penis was satisfactorily covered by a local testicle flap. A dartos musculocutaneous flap can be used to cover a defect of the penis.