Reconstruction of the scrotum by inguinal flap after Fournier's gangrene

Objectives: The authors propose the use of a pedicle inguinal flap for reconstruction of the scrotal region after wide tissue resection following gangrene of the perineum. Material and Methods: Between 1998 and 2002, the authors treated 14 patients by surgical debridement following Fournier's perineo-perianal cellulitis. The authors used a pedicle inguinal flap in two patients with complete resection of the scrotal sac. Results: Clinical examination at 3 years showed a good functional and aesthetic result. The trophicity and sensitivity of the neo-scrotum and testes were normal. Conclusions: The inguinal flap proposed by that authors allows cover of the scrotal region with relatively thick, sensitive tissue with limited scarring and functional sequelae.