Additionally, these surgeries incur a 26-68% risk of complications and hypospadias revision surgery carries an approximate twofold risk of complications likely because the ventral penile skin and
Dartos fascia are often deficient and poorly vascularized.
Urethral fistula closures involve excision and closure of the fistula with adequate
dartos flap coverage after excluding distal urethral stenosis.
Numerous methods have been used by surgeons to fix the testes and prevent re-torsion, including: 1)
dartos pouch; 2) eversion of tunica vaginalis; 3) suture fixation using 1-, 2-, or 3-point fixation; 4) 4-point axial fixation; or 5) modifications of the above mentioned techniques.
Scarpa's fascia is continuous with Colles fascia (the superficial perineal fascia), and
Dartos fascia of the penis and scrotum.
A rotational skin flap was brought over the
dartos flap as a third layer.
Wound was closed in two layers for
dartos and skin.
surgery is warranted and, if necessary, a derotational
dartos flap
A seasonal variation in testicular torsion has been suggested in studies dating back to 1982, with a proposed theory that colder weather can cause contraction of the cre-master muscle and/or tunica
dartos and produce testicular torsion (Chen, Lin, & Yang, 2013; Gomes Dde et al., 2015; Karakan et al., 2015; Shukla, Kelly, Daly, & Guiney, 1982).
Fournier's gangrene (FG) is a fulminant necrotizing infection of the perianal and periurethral tissues that can disseminate even at the subcutaneous tissue of the thigh or the abdomen following the planes of the
dartos fascia of the scrotum and penis, Colle's fascia and Scarpa's fascia.1
The scrotal wall consists of the following layers (from superficial to deep): skin, superficial fascia,
dartos muscle, external spermatic fascia, cremasteric fascia, and internal spermatic fascia.
Urogenital infections spread posteriorly along the Bucks and
Dartos fascia to involve the Colles' fascia, but do not reach the anal margin due to the attachment of the Colles' fascia to the perineal body.
Second layer of
Dartos fascia reduced the rate of fistula formation.