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Scrotal reconstruction with modified pudendal thigh flaps.

Nabil Mopuri¹, Edmund Fitzgerald O'Connor¹, Fortune C Iwuagwu¹

¹St Andrew's Centre for Plastic Surgery, Essex, UK.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|January 18, 2016

Summary

This study presents a modified pudendal thigh flap for scrotal reconstruction after skin loss. The technique offers a robust and natural-looking neo-scrotum with good skin coverage and sensation.

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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.

Keywords:

Fournier's gangrene Internal pudendal Necrotizing fasciitis Pedicled flap Scrotal reconstruction

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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.