Phalloplasty Using a Scrotal Fasciocutaneous Rotation Flap Following a High-Voltage Electrical Burn: A Case Report

TL;DR

This case report describes a successful penile reconstruction using a scrotal flap after a high-voltage electrical burn.

Contribution

The paper presents a novel application of scrotal fasciocutaneous flap phalloplasty for functional and aesthetic recovery after genital electrical burns.

Findings

Scrotal flap phalloplasty provided satisfactory skin coverage and postoperative functionality.

The technique resulted in minimal donor site complications and good visual outcomes.

Multidisciplinary care is emphasized to optimize long-term results in such complex cases.

Abstract

High-voltage electrical burns in the genital area are a rare but serious condition, posing significant challenges for surgical management and functional recovery. These injuries can severely compromise penile anatomy and function, leading to complications such as erectile dysfunction, infections, necrosis, and contractile scarring, which significantly affect the patient's quality of life. Penile reconstruction in these cases is complex and requires specialized microsurgical techniques to achieve both functional and esthetic outcomes. We report the case of a 20-year-old male patient with penile injury secondary to high-voltage electrical trauma, managed with scrotal fasciocutaneous flap reconstruction. The surgical technique used is described, including flap design, incision planning, dissection, and two-layer closure. The results demonstrate satisfactory skin coverage and postoperative functionality, with good visual acceptance and minimal donor site complications. This report aims to highlight the role of scrotal flap phalloplasty in functional penile reconstruction following electrical burns. Phalloplasty with a scrotal flap is a valuable option in these cases, providing anatomical and functional benefits. Multidisciplinary care is essential to optimize outcomes and reduce long-term complications.

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