Scrotal reconstruction with modified pudendal thigh flaps.

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Dermatology

Background:

• Scrotal skin loss necessitates complex reconstructive strategies.
• Existing methods for scrotal reconstruction are varied, highlighting management challenges.

Purpose of the Study:

• To describe a modified pudendal thigh flap for scrotal defect reconstruction.
• To detail the flap's vascularity, elevation, and inset techniques.

Main Methods:

• Utilized a modified pudendal thigh flap in five patients for scrotal reconstruction.
• Documented the flap's vascular anatomy, surgical elevation, and precise inset procedure.

Main Results:

• The modified pudendal thigh flap provided robust, reliable, and resilient reconstruction.
• Achieved a neo-scrotum with natural appearance, quality skin cover, and protective sensation.

Conclusions:

• The modified pudendal thigh flap is an effective technique for scrotal reconstruction.
• This pedicled flap offers superior aesthetic and functional outcomes for patients with scrotal defects.