Fournier Gangrene
After this severe infection is controlled, large areas of lost skin need reconstruction to restore coverage.
Key features
- Post-Fournier defect
- Large skin loss
- Wound bed healed
- Coverage essential
Restore the penile skin envelope after major loss from trauma, infection, Fournier gangrene, or foreign-body removal — using skin grafts and local or regional flaps. Board-certified urologist in Seomyeon, Busan from $3,000. Dr. Moon Hyeon-chang has 15+ years of complex reconstruction experience.

Loss of the penile skin envelope — from severe infection, burns, trauma, or removal of injected substances — is one of the more complex problems in genital surgery. Learn from Dr. Moon Hyeon-chang how grafts and flaps restore coverage and function. 15+ years of complex reconstruction experience, explained in clear English.
Dr. Moon personally manages these cases at our Busan Seomyeon practice. The choice between skin graft and flap depends on defect size, the wound bed, and whether the erectile bodies need pliable coverage; some cases are single-stage, others staged for the best result.
Skin reconstruction is needed when too much skin is lost for simple closure. These are the main causes.
After this severe infection is controlled, large areas of lost skin need reconstruction to restore coverage.
Removing injected Vaseline or silicone often leaves a damaged skin envelope requiring reconstruction.
Degloving, avulsion, or burn injuries that destroy shaft skin and need resurfacing.
Skin shortage after prior penile surgery that cannot be closed by local advancement alone.
Reconstruction matches method to defect: split-thickness grafts for broad shallow areas, flaps for deep or mobile zones, and staged approaches for the most complex losses.
The defect is debrided to healthy tissue and any infection or foreign material removed before reconstruction.
A clean, vascular bed is essential for graft take.
A thin sheet of skin is harvested (often from the thigh) and applied to resurface broad shaft defects.
Grafts suit large, relatively shallow areas.
Scrotal or local flaps provide thicker, vascularized coverage where grafts would not survive or move well.
Flaps suit deep or mobile regions like the shaft base.
Coverage must stretch with erection, so material and technique are chosen to keep the shaft pliable.
Pliable coverage preserves erectile expansion.
The largest or contaminated defects are reconstructed in stages for reliable take and best contour.
Staging improves outcomes in complex cases.
Performed under general or regional anesthesia; larger reconstructions may need a short inpatient stay.
Anesthesia and stay depend on defect size.
Reconstruction is highly individualized. Cause, defect size, and wound health determine graft versus flap and single- versus multi-stage.
Detailed review of the cause and your overall health, plus clear discussion of goals and realistic outcomes.
Measuring the defect, assessing depth and wound-bed health, and identifying graft and flap donor options.
Ensuring any infection is fully resolved and the bed is ready before reconstruction is scheduled.
Graft vs flap and single- vs staged plan defined, anesthesia chosen, donor sites discussed.
Method depends on defect size and depth. These categories guide whether a graft, flap, or staged plan is best.
Dr. Moon classifies defects by size, depth, and contamination to choose graft, flap, or staged reconstruction.
Graft and flap survival depends on the early weeks. These steps protect the reconstruction and support function.
Grafts especially need immobilization in the first week so they adhere and revascularize.
Complete the prescribed course, particularly when reconstruction follows infection.
Nicotine is the leading avoidable cause of graft and flap failure — stop before and after.
Abstain for 4–8 weeks depending on method so coverage heals and stays pliable.
Follow detailed dressing and donor-site instructions closely for clean healing.
WhatsApp photo updates let Dr. Moon monitor take and contour after you fly home.
Penile skin reconstruction in Busan starts from $3,000 for a localized graft or flap. Larger, staged, or combined reconstructions (e.g., with foreign-body excision) range $5,500–$10,000.
All prices include consultation, the procedure(s), and 6-month WhatsApp follow-up.
It depends on the defect. Broad, shallow areas are well covered by a split-thickness skin graft. Deep or mobile zones, or where pliability matters most, are better served by a vascularized flap. Dr. Moon recommends the method best suited to your defect.
Skin reconstruction resurfaces the envelope and does not involve the erectile bodies, so erectile function is generally preserved. The priority is keeping coverage pliable enough to expand normally with erection.
Reconstructed skin is functional and durable but may differ slightly in color, texture, or hair pattern from native shaft skin. Grafts can feel different in sensation; flaps often retain more. Optional refinements can improve appearance.
Office work resumes in 1–2 weeks for most. Grafts need strict early immobilization. Sexual activity is paused for 4–8 weeks depending on method. Final settling of color and contour takes several months.
Plan 10–14 days for single-stage reconstruction including a follow-up before flying. Staged cases either require a longer stay or a return visit; Dr. Moon coordinates and monitors via WhatsApp between stages.
Scrotal flaps are a primary tool for deep shaft coverage. See the dedicated page.
Read moreReconstruction often follows Vaseline/silicone removal. See the extraction page.
Read moreFor smaller defects, a local V-Y flap may suffice instead of grafting.
Read moreFree WhatsApp consultation with Dr. Moon. Send photos and your history — receive a preliminary reconstruction plan and honest assessment of graft versus flap and staging.

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