[Reconstruction of the scrotum using a tissue expander]

Abstract

Traditionally, reconstruction of the scrotum has involved the use of split skin or pedicle flaps with often unsatisfactory aesthetic results. We present two cases with loss of the scrotum as a consequence of Fournier's gangrene. The use of tissue expanders for scrotal reconstruction involves the following advantages: excellent functional and cosmetic results, natural appearance of the neoscrotum, preservation of normal function and sensitivity of scrotal skin, no additional scars from skin grafting, and a simple surgical technique.