A Case Report of Degloving Penoscrotal Injury with Anteromedial Thigh Testis Burial and Skin Graft

Genital injuries occur mainly due to harvesting machines in agriculture field, industrial machines such as pulleys, chains and rotary discs. When they catch the operators clothes and pull out the skin of the genitalia. Such lesions, although not life-threatening they are incapacitating and have a devastating psychological impact as well as challenging for first responders and surgeon because of the skin loss involved [1]. Scrotal, penile, and perineal skin loss may follow severe infections like Fournier’s gangrene or it may be traumatic by crush injuries or avulsion by industrial or agriculture machines [1]. Less than 50 percent of the scrotal skin loss can often be closed primarily without difficulties immediately after trauma, with the remaining surrounding tissue. Extensive scrotal wounds with exposed testes represent challenging problems to the reconstructive surgeons, this is related to the fact that restoration of a durable functional cover of the testes and shape of scrotum is of paramount importance for physiological, social and psychological reasons, especially in young males. Spectrum of surgical options has been used for closure of major scrotal wounds.