Case – Testicular thigh pouches for severe Fournier’s gangrene: A how-to guide

Authors

  • Justin Loloi Montefiore Medical Center
  • Josh Gottlieb
  • Susan MacDonald
  • Ahmed Aboumohamed
  • Joseph A. Ricci
  • Melissa Laudano
  • Kara Watts

DOI:

https://doi.org/10.5489/cuaj.7901

Keywords:

Fournier’s gangrene, testicle, thigh pouch, reconstruction, infection

Abstract

Fournier’s gangrene is a surgical emergency that requires prompt debridement of infected tissue. When the majority of scrotum has been resected, placing the testicles into thigh pouches can allow for improved wound granulation/contracture prior to definitive tissue reconstruction. We present a surgical guide on how to create testicular thigh pouches without the use of thigh counter-incisions, and its utility in delayed wound healing for large scrotal wounds. This technique may serve as a valuable adjunct in the urologist’s and plastic surgeon’s armamentarium to optimize testicular coverage and subsequent genital reconstruction.

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Published

2022-05-20

How to Cite

Loloi, J., Gottlieb, J., MacDonald, S., Aboumohamed, A., Ricci, J. A., Laudano, M., & Watts, K. (2022). Case – Testicular thigh pouches for severe Fournier’s gangrene: A how-to guide. Canadian Urological Association Journal, 16(10). https://doi.org/10.5489/cuaj.7901

Issue

Section

Residents' Room