A combined inferior epigastric artery perforator propeller flap with scrotal flap for the reconstruction of a massive penoscrotal defect: A case report

Extramammary Paget's disease (EMPD) is a rare malignant skin tumor that commonly affects the penis and scrotum. This article presents a case of penoscrotal Paget's disease, detailing the diagnosis, treatment, and reconstructive process. Precise defect repair was achieved by excising the lesion and employing a combined propeller flap based on the inferior epigastric artery perforator and a scrotal skin flap. Postoperative outcomes included satisfactory restoration of the penis and scrotum appearance, with preservation of their functions. This case provides an additional reconstructive option for extensive defects following EMPD surgery.