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Original ArticleOpen Access
Bilateral Scrotal Flap: Pedicle and Dimension of Flap in Cadaveric Dissections
Angspatt A 
,
Pungrasmi P ,
Jindarak S ,
Tunsatit T
,
Pungrasmi P ,
Jindarak S ,
Tunsatit T Penile paraffinoma is not uncommon among Thai males. The definite treatment involves the complete
removal of skin and subcutaneous tissue infiltrated by the foreign material and resurfacing in the penile shaft
with skin graft or scrotal flap in severe cases. In the present study the authors undertook an anatomical
investigation of external pudendal vessels and scrotal skin in 5 soft cadavers. The authors found that the
anterior scrotal artery branching from the external pudendal artery at the point 2-2.7 cms. from midline at
pubic symphysis level and running in the internal spermatic plane. Anterior scrotal artery supplied scrotal
skin 62.5-100% (mean 75.9%) in anteroposterior dimension and 66-100% (mean 88%) in superoinferior
dimension. The authors recommended that this flap must elevate deep to the internal spermatic plane, just
close to tunica vaginalis and the dimension of flap should not be more than 62.5% in anteroposterior and 66%
in superoinferior dimension.
Keywords: Scrotal flap, Penile paraffinoma, Penile reconstruction
removal of skin and subcutaneous tissue infiltrated by the foreign material and resurfacing in the penile shaft
with skin graft or scrotal flap in severe cases. In the present study the authors undertook an anatomical
investigation of external pudendal vessels and scrotal skin in 5 soft cadavers. The authors found that the
anterior scrotal artery branching from the external pudendal artery at the point 2-2.7 cms. from midline at
pubic symphysis level and running in the internal spermatic plane. Anterior scrotal artery supplied scrotal
skin 62.5-100% (mean 75.9%) in anteroposterior dimension and 66-100% (mean 88%) in superoinferior
dimension. The authors recommended that this flap must elevate deep to the internal spermatic plane, just
close to tunica vaginalis and the dimension of flap should not be more than 62.5% in anteroposterior and 66%
in superoinferior dimension.
Keywords: Scrotal flap, Penile paraffinoma, Penile reconstruction
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