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Scrotal reconstruction and testicular prosthetics.

Authors
  • Lucas, Jacob W1
  • Lester, Kyle M1
  • Chen, Andrew1
  • Simhan, Jay1
  • 1 Department of Urology, Einstein Healthcare Network/Fox Chase Cancer Center, Philadelphia, PA, USA.
Type
Published Article
Journal
Translational andrology and urology
Publication Date
Aug 01, 2017
Volume
6
Issue
4
Pages
710–721
Identifiers
DOI: 10.21037/tau.2017.07.06
PMID: 28904904
Source
Medline
Keywords
License
Unknown

Abstract

Scrotal 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.

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