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Bipedicled Scrotal Flap for Penile Resurfacing
Mariel M McLaughlin1, Bahar Abbassi1, Julian J Pribaz1
1From the Department of Plastic and Reconstructive Surgery, University of South Florida.
Background:
Acquired penile defects can be secondary to various pathologic conditions, including infection, scar, or complications following urologic procedures. Penis defects with skin deficit carry a distinct challenge for reconstructive surgeons. Scrotal flaps can provide reliable coverage and can restore distinct qualities of native penile skin.
Methods:
A series of patients presented with a variety of acquired penile defects. Each of these patients underwent staged bipedicle scrotal flap surgery for coverage by the senior author.
Results:
Eight patients underwent bipedicle scrotal flap reconstruction for penile defects with a skin deficit. All eight patients had satisfactory outcomes postoperatively. Only two of the eight patients had minor complications.
Conclusions:
For select patients presenting with underlying deficit of penile skin, bipedicle scrotal flaps prove to be a safe, reproducible, and reliable reconstructive technique for penile resurfacing.
Clinical Question/Level Of Evidence:
Therapeutic, V.
