Bipedicled Scrotal Flap for Penile Resurfacing

• Published in: Plastic and reconstructive surgery (1963) Vol. 153; no. 4; pp. 935 - 942
• Main Authors: McLaughlin, Mariel M, Abbassi, Bahar, Pribaz, Julian J
• Format: Journal Article
• Language: English
• Published: United States Lippincott Williams & Wilkins 01-04-2024
• ISSN: 0032-1052; 1529-4242
• DOI: 10.1097/PRS.0000000000010811

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.
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.
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.
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.
Therapeutic, V.