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Lucas JW , Lester KM , Chen A , Simhan J
Scrotal reconstruction and testicular prosthetics
Translational Andrology and Urology. 2017 Aug;6(4) :710-721
PMID: 28904904 PMCID: PMC5583055 URL: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027369323&doi=10.21037%2ftau.2017.07.06&partnerID=40&md5=6e29765c67afe1373487764005cdb077
AbstractScrotal surgery encompasses a wide-variety of surgical techniques for an even wider variety of indications. In this manuscript, we review our indications, techniques, and pit-falls for various reconstructive scrotal surgeries as-well-as surgical tips for placement of testicular prostheses. Penoscrotal webbing (PSW) is an abnormal, often-problematic distal insertion of scrotal skin onto the ventral penile shaft. There are several effective and straightforward techniques used to revise this condition, which include simple scrotoplasty, single- or double-Z-plasty, or the VY-flap scrotoplasty. Reconstruction is also commonly indicated following scrotal skin loss caused by infection, trauma, lymphedema, hidradenitis, and cancer. Although initial management of these conditions often involves scrotal skin removal, repair of expansive scrotal skin loss can be technically difficult and can be accomplished by using one of several skin flaps or skin grafting. Split-thickness skin grafting of scrotal defects can be accomplished easily, and provides durable results.
NotesExport Date: 1 September 2017