Abdominal implantation of testicles in the management of intractable testicular pain in Fournier gangrene.

Publication/Presentation Date

1-1-2013

Abstract

Fournier gangrene (FG) is a necrotizing soft tissue infection involving the superficial and fascial planes of the perineum. In many cases of FG, debridement of the scrotum is necessary, leaving definitive management of the exposed testicles a significant surgical challenge. Frequent incidental trauma to the testicles can cause severe pain, especially in laborers. Practical surgical solutions are few and not well detailed. Various options exist, including creating a neoscrotum with adjacent thigh tissue, split-thickness skin grafts (STSGs), or even creating a subcutaneous thigh pocket. We describe a case of abdominal implantation of bilateral testicles for persistent testicular pain in a case where STSGs did not provide adequate protection, adjacent thigh skin was not available for creation of a neoscrotum, and significant cord contracture occurred. We detail the advantages and disadvantages of the commonly described techniques, including this approach, and how in select individuals this may be a suitable alternative.

Volume

98

Issue

4

First Page

367

Last Page

371

ISSN

2520-2456

Disciplines

Medicine and Health Sciences

PubMedID

24229025

Department(s)

Department of Surgery

Document Type

Article

Link to Full Text

Share

COinS