ABSTRACT
The scrotal and perineal area serves a special function. It is the pelvic outlet for
the gastrointestinal tract, urinary system, and sexual function. In the male, the
scrotum allows testicular mobility to reduce trauma and allow optimal thermal regulation
for spermatogenesis. Trauma, infection, and cancer resection create defects that require
reconstruction. The reconstructive goal here is to obtain durable coverage, function,
and lastly aesthetic outcome. Pedicled local and regional flaps are the mainstay for
this area. Due to the special function and appearance of the scrotum, reconstructive
options for total scrotal defect always fall far short of the native scrotum. On the
other hand, perineal reconstruction is overall satisfactory.
KEYWORDS
Scrotal wound - perineal wound - flap coverage
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Nho V TranM.D. F.A.C.S.
Plastic Surgery Division, E12, Mayo Clinic
200 First Street SW, Rochester, MN 55905
Email: tran.nho@mayo.edu
