Fertility-sparing Scrotal Reconstruction with a Superficial Circumflex Iliac Perforator Flap.

ABSTRACT: It is believed that skin flaps should not be used to reconstruct large scrotal defects because thick flaps increase testicular temperature and decrease fertility, and those skin grafts should be used to reconstruct large scrotal defects. We report a case of extensive scrotal defect reconstructed with bilateral superficial circumflex iliac perforator (SCIP) flaps in which spermatogenesis improved postoperatively over time. A 44-year-old man underwent reconstruction of an extensive scrotal defect caused by Fournier gangrene, and bilateral SCIP flaps were used for the reconstruction. In the third postoperative month, his semen volume and sperm count after centrifugation were 1.5 mL and eight, respectively. Based on these semen findings, fertility specialists diagnosed the patient with extreme

SUBMITTER: Ando N 

PROVIDER: S-EPMC10208698 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature