A combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect: A case report

Extramammary Paget's disease (EMPD) is a rare malignant skin tumor that commonly affects the penis and scrotum. This article presents a case of penoscrotal Paget's disease, detailing the diagnosis, treatment, and reconstructive process. Precise defect repair was achieved by excising the le...

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Main Authors: Hao Yang, Zesheng Zeng, Jianfeng Sheng, Wei Wang, Cheng Fu
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025001639
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author Hao Yang
Zesheng Zeng
Jianfeng Sheng
Wei Wang
Cheng Fu
author_facet Hao Yang
Zesheng Zeng
Jianfeng Sheng
Wei Wang
Cheng Fu
author_sort Hao Yang
collection DOAJ
description Extramammary Paget's disease (EMPD) is a rare malignant skin tumor that commonly affects the penis and scrotum. This article presents a case of penoscrotal Paget's disease, detailing the diagnosis, treatment, and reconstructive process. Precise defect repair was achieved by excising the lesion and employing a combined propeller flap based on the inferior epigastric artery perforator and a scrotal skin flap. Postoperative outcomes included satisfactory restoration of the penis and scrotum appearance, with preservation of their functions. This case provides an additional reconstructive option for extensive defects following EMPD surgery.
format Article
id doaj-art-9f5b4d70034c4b4eb9ece00928703279
institution DOAJ
issn 2214-4420
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publishDate 2025-07-01
publisher Elsevier
record_format Article
series Urology Case Reports
spelling doaj-art-9f5b4d70034c4b4eb9ece009287032792025-08-20T03:08:56ZengElsevierUrology Case Reports2214-44202025-07-016110309210.1016/j.eucr.2025.103092A combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect: A case reportHao Yang0Zesheng Zeng1Jianfeng Sheng2Wei Wang3Cheng Fu4The Department of Otolaryngology-Head and Neck Surgery, Affiliated Hospital of Southwest Medical University, ChinaThe Third Hospital of Mianyang, Sichuan Mental Health Center, ChinaThe Department of Otolaryngology-Head and Neck Surgery, Affiliated Hospital of Southwest Medical University, China; The Third Hospital of Mianyang, Sichuan Mental Health Center, China; Corresponding author. Southwest Medical University, No. 1, Section 1, Xianglin Road, Longmatan District, Luzhou City, Sichuan Province, 646000, China.The Third Hospital of Mianyang, Sichuan Mental Health Center, ChinaThe Third Hospital of Mianyang, Sichuan Mental Health Center, ChinaExtramammary Paget's disease (EMPD) is a rare malignant skin tumor that commonly affects the penis and scrotum. This article presents a case of penoscrotal Paget's disease, detailing the diagnosis, treatment, and reconstructive process. Precise defect repair was achieved by excising the lesion and employing a combined propeller flap based on the inferior epigastric artery perforator and a scrotal skin flap. Postoperative outcomes included satisfactory restoration of the penis and scrotum appearance, with preservation of their functions. This case provides an additional reconstructive option for extensive defects following EMPD surgery.http://www.sciencedirect.com/science/article/pii/S2214442025001639Extramammary paget diseaseThe inferior epigastric artery perforatorScrotal skin flap
spellingShingle Hao Yang
Zesheng Zeng
Jianfeng Sheng
Wei Wang
Cheng Fu
A combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect: A case report
Urology Case Reports
Extramammary paget disease
The inferior epigastric artery perforator
Scrotal skin flap
title A combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect: A case report
title_full A combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect: A case report
title_fullStr A combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect: A case report
title_full_unstemmed A combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect: A case report
title_short A combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect: A case report
title_sort combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect a case report
topic Extramammary paget disease
The inferior epigastric artery perforator
Scrotal skin flap
url http://www.sciencedirect.com/science/article/pii/S2214442025001639
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