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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.
Plastic and Reconstructive Surgery
|June 7, 2023
Summary
Bipedicle scrotal flaps offer a safe and reliable method for penile reconstruction in patients with skin deficits. This technique provides satisfactory outcomes with minimal complications for acquired penile defects.
Area of Science:
- Urology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Acquired penile defects result from infection, scarring, or urologic procedure complications.
- Penile defects with skin deficit present significant reconstructive challenges.
- Scrotal flaps are a viable option for penile skin coverage, restoring native qualities.
Purpose of the Study:
- To evaluate the efficacy of bipedicle scrotal flap surgery for acquired penile defects with skin deficit.
Main Methods:
- A series of patients with acquired penile defects underwent staged bipedicle scrotal flap surgery.
- The senior author performed the reconstructive procedures.
Main Results:
- Eight patients received bipedicle scrotal flap reconstruction for penile defects.
- All patients achieved satisfactory postoperative outcomes.
- Minor complications occurred in only two of the eight patients.
Conclusions:
- Bipedicle scrotal flaps are a safe, reproducible, and reliable technique for penile resurfacing in select patients.
- This method effectively addresses penile defects with underlying skin deficits.

