SciELO - Scientific Electronic Library Online

vol.44 número3Estudio epidemiológico del trauma de pabellón auricular en el Hospital General Dr. Manuel Gea González, MéxicoEvaluación de la perfusión de colgajos mediante indocianina verde índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google


Cirugía Plástica Ibero-Latinoamericana

versión On-line ISSN 1989-2055versión impresa ISSN 0376-7892


GARCIA-SANCHEZ, José María; PEREZ-ARDAVIN, Javier  y  KLENNER-MUNOZ, Cristhian S.. Scrotal reconstruction with pedicled gracilis muscle flap versus split thickness skin graft. Cir. plást. iberolatinoam. [online]. 2018, vol.44, n.3, pp.297-301. ISSN 1989-2055.

Background and Objective

The scrotal area presents special characteristics that allow the protection and thermal regulation of testicles. The etiology of scrotum defect can be multiple, being the most frequent cause Fournier’s gangrene. Multiple reconstructive options have been described, nevertheless it has not yet been reached an ideal method. This study was designed to evaluate the effects of scrotal reconstruction, using gracilis muscle flap or skin graft, on testicular hormonal function and patient satisfaction.


From January 2006 to March 2016, 19 patients underwent a reconstruction of scrotum defect in our unit through covering by skin graft or pedicled gracilis flap. In all cases the defect was due to Fournier’s gangrene. The characteristics of the patients were studied and testicle hormonal function as well as satisfaction after the reconstruction were assessed, with a mean follow-up of 5 ± 3.6 years.


From 19 operated patients, 11 were included in the survey: 5 patients were reconstructed through pedicled gracilis muscle flap with skin graft and 6 by means of split thickness skin graft. There were no differences between the groups with regard to the values of testicular hormonal function. Nevertheless, differences were observed in favor of the reconstruction by pedicled gracilis flap regarding to satisfaction (93 versus 60 points), feelings of protection (98 versus 68 points), effects on sexual activity (20% versus 80%) and tactile rude sensibility of the area reconstructed (80% versus 0%).


Reconstruction of scrotum defect through pedicled gracilis flap turned out to be in our sample a better aesthetic result and a higher satisfaction of the patient that the reconstruction by means of skin grafts. However, no differences were found regarding testicular hormonal function.

Palabras clave : Scrotal defect; Skin graft; Gracilis flap; Testicles.

        · resumen en Español     · texto en Español     · Español ( pdf )