Case – Testicular thigh pouches for severe Fournier’s gangrene: A how-to guide
Keywords:Fournier’s gangrene, testicle, thigh pouch, reconstruction, infection
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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