Scrotal skin has unique cosmetic and functional features that make its reconstruction difficult. Coverage of the testicles and constituting a good cosmetic appearance are major expectations from a successful reconstruction. Usually flaps are the choice for scrotal reconstruction, but every single flap has its own characteristics. In our series, between January 2006 and January 2010, the medial circumflex femoral artery perforator flap was used in 7 male patients for scrotal coverage after Fournier gangrene. Six flaps were raised based on a single perforator from the gracilis muscle; however in one flap 2 perforators were used. Flaps were carried to the defect either by transposition or by V-Y advancement. Donor areas were closed directly in all patients, and stable scrotal coverage was achieved with an acceptable scrotal contour and cosmesis. No major complication was seen due the perforator flap surgery, in 2 patients wound dehiscence were noted and they healed by secondary intention or by secondary suturing. For scrotal reconstruction, the medial circumflex femoral artery perforator flap is a good option with its good mobility, thinness for scrotal contour, possibility for muscle preservation, and direct closure of the donor site. All these advantages can be accomplished in 1 procedure.

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266 .

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

En sık görülen kapak tümörü 39 (%29,5) olguyla melanositik dermal nevüs idi. Fibroepitelyal polip 36 (%27,3) olguda, ksantelezma 23 (%17,4) olguda, epidermal inklüzyon kisti 14 (%10,6) olguda ve seboreik keratoz 12 (%9) olguda izlendi. Kadınlarda en sık gözlenen tümör melanositik dermal nevüs iken (%34,61), erkeklerde en sık fibroepitelyal polip (%35,18) izlendi. Sonuç: Çalışmamızda kapaklarda en sık gözlenen benign tümör melanositik nevüs iken, en sık malign tümör bazal hücreli karsinom olarak saptandı. Kapak tümörleri büyük oranda benign lezyonlar olarak tespit edildi. Benign tümörler 40-50 yaş grubunda sık gözlenirken, malign tümörler 60-70 yaş arasında daha sık gözlendi.