Abstract

COLLADO HERNANDEZ, Carlos Manuel; HECHAVARRIA TAMAYO, Enrique; LORENTE GIL, SergioRamón  and  PEREZ NUNEZ, Vivian. Scrotoplasty in a patient with necrotizing fasciitis of scrotum: a case presentation. AMC [online]. 2013, vol.17, n.5, pp.599-605. ISSN 1025-0255.

Background: Fournier gangrene is characterized by necrotizing fasciitis of perineum and of abdominal wall, as well as by necrotizing fasciitis of scrotum and penis in men and of vulva in women. The loss of skin can be disabling and hard to resolve. Some techniques have been used to reconstruct the loss of tissue. Objective: to show a simple surgical technique that gives the possibility of using redundant tissue with satisfactory functional and aesthetic results. Clinical case: a sixty-two-year-old male patient of mixed race that comes to the emergency service with necrotizing fasciitis of scrotum. He is admitted in the Urology Service of the Celia Sanchez Manduley University Hospital and undergoes an analgesic, anti-inflammatory treatment and antibiotic therapy that evolved to the necrosis of the scrotum. It was noticed that the patient was eager and worried about the appearance of his genitals. It was seen that the skin of the scrotum that covered the right testicle was almost intact. The skin of this area has the characteristic of being very elastic; the dissection of the skin was made until there was enough tissue to cover the left testicle. Conclusions: functional and aesthetic results were achieved. Thanks to the applied technique, the patient recovered with a minimum of aesthetics sequelae.

Keywords : FOURNIER GANGRENE; SURGERY, PLASTIC; FASCIITIS; NECROTIZING; SCROTUM; AGED; CASE STUDIES.

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