Prepucial skin flap for reconstruction of the scrotum in Fournier's gangrene.

A new procedure for reconstructing a scrotal defect caused by Fournier's gangrene is described. Complete and quick coverage of the exposed testicles is important aesthetically and functionally. A dorsally based prepucial flap is designed, flap viability is ensured by an abundant blood supply and venous drainage. This procedure for reconstruction of ventral hemiscrotum by using a flap of prepucial skin in non-circumcised persons has proved effective in selected cases.