Scrotum reconstruction following Fournier's gangrene

Fournier's gangrene is a severe necrotizing soft tissue infection requiring urgent debridement and broad-spectrum antibiotics with large defects posing cosmetic and functional challenges. This review presents considerations and possibilities for reconstruction of the scrotum after heavy debridement, mainly focusing on split-thickness skin grafts and local flap techniques. While flaps provide superior cosmetic and protective outcomes, grafts are simpler and more cost-effective. Both approaches have limitations. Therefore, it is important to choose patient-specific reconstruction methods.