Robust reconstruction using vascularized scrotal tissue to resurface the penile shaft after major skin loss from trauma, infection, or foreign-body removal. Board-certified urologist in Seomyeon, Busan from $3,500. Dr. Moon Hyeon-chang has 15+ years of complex reconstruction experience.
When the penile shaft loses significant skin — from trauma, severe infection like Fournier gangrene, or removal of injected foreign material — local advancement is not enough. Learn from Dr. Moon Hyeon-chang how a well-vascularized scrotal flap provides durable coverage. 15+ years of reconstructive experience, explained in clear English.
Dr. Moon personally plans these complex cases at our Busan Seomyeon practice. The scrotum offers generous, elastic, well-supplied skin ideally located for penile resurfacing; some cases are completed in one stage, others need a second small procedure to divide the flap.
A scrotal flap is reserved for larger coverage needs where local skin is insufficient. These are the main scenarios.
Skin loss after Fournier gangrene or severe infection, where the scrotum provides nearby healthy coverage.
After removing injected Vaseline/silicone, the damaged skin envelope is reconstructed with scrotal tissue.
Major degloving or avulsion injuries where large areas of shaft skin must be replaced.
In severe buried penis, after release the exposed shaft may need scrotal flap coverage.
A scrotal flap uses the scrotum’s rich blood supply and elastic skin. The flap is raised, wrapped to resurface the shaft, and — if needed — divided in a second stage once it has gained its own blood supply.
The shaft wound bed is cleaned and any unhealthy tissue, granuloma, or foreign material is removed first.
A clean, healthy bed is essential for flap take.
A skin flap is raised from the scrotum, preserving its blood supply, sized to the shaft defect.
Scrotal skin is elastic and generously supplied.
The flap is wrapped around the shaft and sutured to provide durable, pliable coverage.
Pliable skin allows normal erection expansion.
If the flap remains attached to the scrotum, a second small procedure divides it after 3–6 weeks.
Division is timed once the flap is self-supplied.
A minor revision can thin or contour the flap for a more natural shaft appearance if desired.
Optional refinement improves cosmesis.
Performed under general or regional anesthesia, usually with a short observation; complex cases may need a brief stay.
Anesthesia and stay depend on defect size.
Scrotal flap reconstruction is highly individualized. Defect size, cause, and tissue health decide single- versus two-stage planning.
Detailed review of the cause — infection, trauma, foreign body, or buried penis — and overall health and goals.
Assessment of the shaft defect size and the quality and laxity of scrotal donor skin.
Confirming infection is fully resolved and the wound bed is healthy before any flap is planned.
One- or two-stage plan defined, anesthesia chosen, and division timing discussed if applicable.
Approach depends on how much skin is lost and why. Moderate defects may be single-stage; large or contaminated ones need staging.
Dr. Moon classifies cases by defect size and tissue health to decide between single-stage coverage and a two-stage flap with later division.
Scrotal flaps are robust but the early weeks matter. These steps protect blood supply and support healing.
Limit activity and elevate as advised in the first week to reduce swelling and protect the flap.
Complete the prescribed course — these cases often follow infection, so prophylaxis matters.
Nicotine endangers flap blood supply; stopping before and after is strongly advised.
Avoid sexual activity for 4–6 weeks while the flap heals and, if needed, is divided.
Follow detailed dressing instructions, especially between stages if a division is planned.
WhatsApp photo updates let Dr. Moon monitor flap health and plan division remotely.
Scrotal flap penile reconstruction in Busan starts from $3,500 for single-stage coverage. Two-stage or combined reconstruction (with excision or grafting) ranges $5,500–$9,000 by complexity.
All prices include consultation, the procedure(s), and 6-month WhatsApp follow-up.
Sometimes. Contained defects can be covered in a single stage. Larger defects use a flap that stays attached to the scrotum for blood supply, then a second small procedure divides it after 3–6 weeks.
Dr. Moon determines single- versus two-stage during assessment.
Scrotal skin is a good match for the shaft — elastic and well-supplied — but it can be slightly different in texture and may bear hair. An optional later refinement can thin and contour it for a more natural look.
The flap provides skin coverage and does not involve the erectile bodies, so erectile function is generally unaffected. Sensation in the flap itself can differ from native shaft skin.
Office work resumes in about 1–2 weeks. Sexual activity is paused for 4–6 weeks. If a two-stage flap is used, the second division procedure occurs at 3–6 weeks, after which final healing continues.
For single-stage cases, plan 10–14 days. For two-stage reconstruction, either plan to stay through the division (~4–6 weeks) or return for the second stage; Dr. Moon coordinates the schedule and monitors via WhatsApp between visits.
Free WhatsApp consultation with Dr. Moon. Send photos and your history — receive a preliminary reconstruction plan and honest assessment of staging.
Address:
7F-702, Ion City Building, 74 Seomyeon-ro, Busanjin-gu, Busan, South Korea