• Logo
  • SBMUJournals

A new technique of scrotoplasty following total scrotal destruction by raised rotated perineal flaps with de epithelialized borders

Seyyed Mohammad Ghahestani, Pooya Hekmati, Sara Karimi



In this article we present two-year-old male patient who had history of Fournier gangrene of scrotum. Extensive perineal and scrotal debridement with suprapubic cystostomy tube insertion had been done for him in the emergency setting One year later his parents brought him back for scrotal reconstruction. A novel technique by using rotational perineal flap was used.The cosmetic result of1 months and 3 months follow up is presented in the article.



Lucas JW, Lester KM, Chen A, Simhan J. Scrotal reconstruction and testicular prosthetics. Transl Androl Urol. 2017 Aug;6(4):710-21.

Lin CT, Chang SC, Chen SG, Tzeng YS. Reconstruction of perineoscrotal defects in Fournier's gangrene with pedicle anterolateral thigh perforator flap. ANZ J Surg. 2016 Dec;86(12):1052-5.

Wallner C, Behr B, Ring A, Mikhail BD, Lehnhardt M, Daigeler A. Reconstructive methods after Fournier gangrene. Urologe A. 2016 Apr;55(4):484-8.

Chen SY, Fu JP, Wang CH, Lee TP, Chen SG. Fournier gangrene: a review of 41 patients and strategies for reconstruction. Ann Plast Surg. 2010 Jun;64(6):765-9.

Bonitz RP, Hanna MK. Correction of congenital penoscrotal webbing in children: A retrospective review of three surgical techniques. J Pediatr Urol. 2016 Jun;12(3):161.e1-5.

El-Sabbagh AH. Coverage of the scrotum after Fournier's gangrene. GMS Interdiscip Plast Reconstr Surg DGPW. 2018 Jan 15;7:Doc01.

Kuzaka B, Wróblewska MM, Borkowski T, et al. Fournier's Gangrene: Clinical Presentation of 13 Cases. Med Sci Monit. 2018 Jan 28;24:548-55.

DOI: http://dx.doi.org/10.22037/uj.v0i0.4170


  • There are currently no refbacks.