Reconstruction of the perineum using Bilateral crural flap after Fournier's gangrene

urology

Fournier's gangrene, a rapidly progressive necrotizing fasciitis of the perineum and external genitalia resulting in extensive soft tissue necrosis, remains a medical and surgical emergency. The authors present a case of coverage of a scrotal loss of substance with testicular exposure by a median fascio-cutaneous flap of the unilateral thigh after debridement and initial medical treatment of Fournier's gangrene in a 30-year-old worker. Clinical examination at 8 months showed an aesthetic and functional result. The trophic-cutaneous thigh flap enables the scrotal region to be covered with relatively thick skin of a color and texture like that of the scrotum. It also offers technical simplicity, moderate scarring and functional remnants at the cost of less morbidity.

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