Rotary mutiflaps for defect reconstruction in penoscrotal extramammary Paget's disease

Purpose: To describe a method of using rotary multiflaps from scrotum, penis, and mons pubis to reconstruct large skin defect after local wide excision of penoscrotal extramammary Paget's disease (EMPD). Materials and methods: We reviewed our databases for the period between 1997 and 2005, and identified 5 cases of penoscrotal EMPD, all male aged between 56 to 69 (mean 63.2 years). Who underwent local wild excision with subsequent reconstruction by rotary multiflaps. Results: All flaps survived with satisfactory functional and aesthetic results. No signs of recurrent disease or metastasis occurred during the follow-up period ranging from 5 to 36 months (mean 20 months). Conclusions: Rotary multiflaps is a safe and effective procedure for the reconstruction of large defect in penoscrotal EMPD. (c) 2008 Elsevier Inc. All rights reserved.