TY - JOUR
T1 - Abdominal implantation of testicles in the management of intractable testicular pain in Fournier gangrene
AU - Chan, Cyrus C.
AU - Shahrour, Khaled
AU - Collier, Ronald D.
AU - Welch, Marlene
AU - Chang, Shiliang
AU - Williams, Mallory
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
KW - Abdominal testicular implantation
KW - Bilateral orchiopexy
KW - Fournier gangrene
KW - Necrotizing fasciitis
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U2 - 10.9738/INTSURG-D-13-00113.1
DO - 10.9738/INTSURG-D-13-00113.1
M3 - Article
C2 - 24229025
AN - SCOPUS:84896496405
SN - 0020-8868
VL - 98
SP - 367
EP - 371
JO - International Surgery
JF - International Surgery
IS - 4
ER -