Division of Plastic Surgery, Mayo Clinic, Rochester, Minnesota.
Semin Plast Surg. 2011 Aug;25(3):213-20. doi: 10.1055/s-0031-1281491.
The scrotal and perineal area serves a special function. It is the pelvic outlet for the gastrointestinal tract, urinary system, and sexual function. In the male, the scrotum allows testicular mobility to reduce trauma and allow optimal thermal regulation for spermatogenesis. Trauma, infection, and cancer resection create defects that require reconstruction. The reconstructive goal here is to obtain durable coverage, function, and lastly aesthetic outcome. Pedicled local and regional flaps are the mainstay for this area. Due to the special function and appearance of the scrotum, reconstructive options for total scrotal defect always fall far short of the native scrotum. On the other hand, perineal reconstruction is overall satisfactory.
阴囊和会阴区域具有特殊的功能。它是胃肠道、泌尿系统和性功能的骨盆出口。在男性中，阴囊允许睾丸移动以减少创伤并为精子发生提供最佳的热调节。创伤、感染和癌症切除会造成需要重建的缺陷。这里的重建目标是获得持久的覆盖、功能和最终的美学效果。带蒂局部和区域性皮瓣是该区域的主要方法。由于阴囊的特殊功能和外观，总阴囊缺陷的重建选择总是远远落后于天然阴囊。另一方面，会阴重建总体上令人满意。
