PMC6379833_01
Necrotic tissue of the genitalia was extensively debrided.
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F1
The patient was shifted to the operating room (OR) where debridement was done by urology team (Figure 1 (Fig. 1)).
Testes were relocated in the anteromedial side of the thighs. Granulation tissue has been formed.
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F2
The testes were temporarily relocated to the anteromedial side of the thighs in order to achieve an optimum scrotal wound closure (Figure 2 (Fig. 2)).
VAC was applied to aid formation of granulation tissue.
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F3
Testes were approximated and the bagging technique was done using the skin graft.
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F4
The testes were approximated at the midline and were attached together with small sutures (Figure 4 (Fig. 4)).
Satisfactory healing and cosmetically near normal appearance was achieved after two months.
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F5
A near normal appearance and satisfactory result was achieved after two months and patient was discharged home with good urological and sexual function (Figure 5 (Fig. 5)).