Abstract
The reconstruction choice of scrotal defects after Fournier gangrene has been routinely based on the reconstructive ladder. Defects are usually managed with either skin-grafting or regional flaps to achieve testicular coverage. However, skin grafting done directly to testes may lead to chronic pain issues, and skin flaps can potentially be too thick to achieve good temperature control for spermatogenesis. We present the first reported case of total scrotal resurfacing after Fournier gangrene in a 48-year-old patient with NovoSorb Biodegradable Temporizing Matrix. The patient showed a good cosmetic outcome with no residual pain issues. Further research is recommended to further investigate the long-term effects of scrotal reconstruction with Biodegradable Temporizing Matrix.