Scrotal reconstruction following Fournier's gangrene using the medial thigh fasciocutaneous flap.

Scrotal reconstruction with adequate protection of the testicles remains the challenge following Fournier's gangrene. Early single-staged sensate flap coverage is ideal. This is readily accomplished using the medial thigh fasciocutaneous flap based on the longitudinal axiallty of the anteromedial thigh suprafascial plexus. Only a single lower extremity need be violated, and the ipsilateral gracilis muscle may be simultaneously independently elevated for closure of larger defects. Primary donor site closure obviates the need for skin grafts.