Background: Reconstruction of scrotal defects is crucial
for its functional, aesthetic and psychological impact. In this
retrospective study, data retrieved from medical records from
February 2015 to December 2018 in El-Demerdash, Ain Shams
University Hospital.
Aim of Work: The purpose of this study was to evaluate
and compare the internal pudendal artery perforator and medial
thigh flaps for reconstruction of major scrotal and perineal
defects. 10 patients underwent reconstruction of the scrotal
and perineal region by medial thigh flap (Group A) and 13
patients by internal pudendal artery perforator flap type I
(Group B). Patients were followed at 3, 6 and 12 months postoperatively.
Data were collected, analyzed and compared for
flap dimension, intraoperative time, secondary procedure,
complications, hospital stay and aesthetic patients' satisfaction
(Likert scale).
Results: (Group A) patients showed less intraoperative
time, less flap size, and hospital stay, while patients' satisfaction
Likert scale was more in Group B patients. Post-operative
rate of complications was less in (Group A) as regards,
infection and need for secondary procedure, while was more
as regards, flap necrosis, wound dehiscence, and scar contracture.