Scrotal Tissues: The Perfect Material for Urogenital ReconstructionстатьяЭлектронная публикация
Статья опубликована в высокорейтинговом журнале
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Дата последнего поиска статьи во внешних источниках: 10 февраля 2021 г.
Аннотация:Background: Correction of male urogenital pathology of different severity is complicatedby the anatomical aspects of the penis. Skin texture, internal structures,and perfusion dynamics of the urogenital area make it a difficult area to reconstruct.We provide our experience with axial scrotal flaps for correction of peniledefects of different severity and believe that these local flaps offer sufficient tissuecharacteristics for proper restoration of this complex region.Methods: Forty-eight patients were divided into 3 groups depending on peniledefect genesis and severity. Axial scrotal flap reconstruction was used for the correctionof defects in all cases, when necessary in combination with other flaps.Results: Axial scrotal flaps for total and subtotal penile reconstruction serve asvaluable material for reconstruction of the urogenital area, and are to be combinedwith other flaps for restoration of bulk tissues. Localized defects of the penisand urethra reconstructed by axial scrotal flaps provide excellent aesthetic resultswith minimal scaring, stable perfusion dynamics, and high satisfaction rate.Conclusions: Scrotal tissues provide an excellent reconstruction material for peniledefects because of their highly similar tissue structure as that of the penis. Scrotalaxial flaps do not provide excess bulking in the postoperative period and are recommendedfor reconstruction of urethral and localized penile defects. Multistagesurgery is recommended in cases of severe tissue damage, in combination withother flaps (inguinal, thoracodorsal, and radial). (Plast Reconstr Surg Glob Open2020;8:e2948; doi: 10.1097/GOX.0000000000002948; Published online xxx xxx 2020.)