Penoscrotal skin avulsion

Abstract

A case of reconstruction after penoscrotal skin avulsion is described. Penile coverage was gained by two full-thickness grafts helicoidally placed to avoid scar retraction. After subcutaneous implantation of the testes, scrotal reconstruction was carried out in two stages with expanded axial flaps from the abdominal region. The procedure assures flap viability, avoids patient discomfort caused by perineal expansion, gives a satisfactory cosmetic appearance, and maintains testicular function.