{
  "abstract": "Fournier's gangrene is a rapidly progressive necrotizing soft tissue infection that can cause extensive scrotal loss and requires durable reconstruction with acceptable contour and function. A 54-year-old man presented 4 weeks after emergent perineoscrotal debridement with complete scrotal skin loss and exposed testes. Reconstruction was performed using a two-stage approach. In Stage 1, each testis was placed into a medial thigh subcutaneous pocket beneath thin skin to encourage neovascularization. In Stage 2, delayed bilateral medial thigh skin flaps were elevated and advanced to the midline to create a neoscrotum. Minor donor-site wound dehiscence was managed locally. A two-stage delayed bilateral medial thigh skin flap can provide reliable, thin coverage and a natural neoscrotal contour after total scrotal loss.",
  "abstract_shown": true,
  "affiliations": [
    "Institute for Reconstructive Surgery Houston Methodist Hospital Weill Cornell Medicine Houston Texas USA cornell.edu."
  ],
  "article_type": "case study",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Souha Farhat",
      "orcid": "0000-0002-8529-6263"
    },
    {
      "affs": [
        0
      ],
      "name": "Samantha Cervantes Valadez",
      "orcid": "0000-0002-1111-6469"
    },
    {
      "affs": [
        0
      ],
      "name": "Alexa De la Fuente Hagopian",
      "orcid": "0000-0002-3036-656X"
    },
    {
      "affs": [
        0
      ],
      "name": "Tue A Dinh"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b255fvbctw35m.bib",
  "cited_by": 0,
  "doi": "10.1155/criu/5950371",
  "fulltext_url": "https://europepmc.org/articles/PMC13711487",
  "id": "b255fvbctw35m",
  "issns": [
    "2090-696X",
    "2090-6978"
  ],
  "landing_url": "https://europepmc.org/article/MED/42948194",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Article"
    ],
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2746|Reconstructive Surgery and Microvascular Techniques"
    ]
  ],
  "openalex": "W7223961913",
  "pdf_url": "https://europepmc.org/articles/PMC13711487?pdf=render",
  "pmcid": "PMC13711487",
  "pmid": "42948194",
  "published": "2026-10-27",
  "publisher": "Wiley",
  "ris": "https://research.draconitic.com/paper/b255fvbctw35m.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T00:20:33Z",
      "native_id": "MED:42948194",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42948194"
    },
    {
      "first_seen": "2026-10-31T12:22:15Z",
      "native_id": "PMC13711487",
      "source": "pmc",
      "url": "https://doi.org/10.1155/criu/5950371"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Reconstructive Surgery and Microvascular Techniques",
      "subfield": "surgery"
    }
  ],
  "title": "Complex Scrotal Reconstruction in Fournier's Gangrene Using a Two-Stage Delayed Bilateral Medial Thigh Skin Flap Technique: A Case Report.",
  "title_text": "Complex Scrotal Reconstruction in Fournier's Gangrene Using a Two-Stage Delayed Bilateral Medial Thigh Skin Flap Technique: A Case Report.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-31T12:22:15Z",
  "url": "https://research.draconitic.com/paper/b255fvbctw35m",
  "venue": "Case reports in urology",
  "versions": []
}