Thin-trimming of the scrotal reconstruction flap: long-term follow-up shows reversal of spermatogenesis arrest

Abstract

Objective: To explore a method to decrease the arrest of spermatogenesis in patients undergoing scrotum reconstruction with a flap.

Methods: A follow-up study on a patient whose scrotum had been reconstructed with a flap revealed the arrest of spermatogenesis. The flap was trimmed thin on two occasions, and the composition of the seminal fluid was followed up.

Results: The follow-up showed a decrease in the arrest of spermatogenesis after the flap was thin-trimmed.

Conclusions: Thin-trimming the reconstruction flap can decrease the degree of spermatogenesis arrest in patients who have received scrotum reconstruction by thick flap.