Repair of penile wounds in penis lengthening with the scrotal dartos musculocutaneous flaps / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To provide ideal materials for repair of penile wounds in penis lengthening.</p><p><b>METHODS</b>A skin incision was made between the penis and mons pubis. Penis lengthening was performed by complete releasing of the superficial suspensory ligament and partial releasing of the deep suspensory ligament of the penis. Resurfacing of the defects at the penile base was accomplished by transferring a scrotal dartos musculocutaneous flap pedicled on the anterior scrotal vessels.</p><p><b>RESULTS</b>16 patients with short penis were treated with the method. All scrotal dartos musculocutaneous flaps survived and 4-4.5 cm extra length of the penile shaft was achieved. Appearance and function of the penis were improved.</p><p><b>CONCLUSIONS</b>The scrotal dartos musculocutaneous flap is one of the best materials to repair the penile skin defects in penile lengthening operation. The advantages of the flap are: 1. good blood supply; 2. thin and lacking of subcutaneous fat; 3. extensibility with the scrotal dartos muscle.</p>