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Peer-reviewedCC BYCase reports in urology

Complex Scrotal Reconstruction in Fournier's Gangrene Using a Two-Stage Delayed Bilateral Medial Thigh Skin Flap Technique: A Case Report.

  • Souha Farhat1
  • Samantha Cervantes Valadez1
  • Alexa De la Fuente Hagopian1
  • Tue A Dinh1
  1. 1Institute for Reconstructive Surgery Houston Methodist Hospital Weill Cornell Medicine Houston Texas USA cornell.edu.
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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.

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Cite

BibTeXRIS
BibTeX
@article{farhat2026complex,
  title = {{Complex Scrotal Reconstruction in Fournier's Gangrene Using a Two-Stage Delayed Bilateral Medial Thigh Skin Flap Technique: A Case Report.}},
  author = {Souha Farhat and Samantha Cervantes Valadez and Alexa De la Fuente Hagopian and Tue A Dinh},
  journal = {Case reports in urology},
  year = {2026},
  month = oct,
  doi = {10.1155/criu/5950371},
  url = {https://europepmc.org/article/MED/42948194},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Complex Scrotal Reconstruction in Fournier's Gangrene Using a Two-Stage Delayed Bilateral Medial Thigh Skin Flap Technique: A Case Report.
AU  - Souha Farhat
AU  - Samantha Cervantes Valadez
AU  - Alexa De la Fuente Hagopian
AU  - Tue A Dinh
PY  - 2026
DA  - 2026/10/27
JO  - Case reports in urology
DO  - 10.1155/criu/5950371
UR  - https://europepmc.org/article/MED/42948194
AB  - 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.
SN  - 2090-696X
SN  - 2090-6978
ER  -