Fig. 2

Representative case of penoscrotal injury where successful surgical reconstruction was achieved. a A 34-year-old man with no underlying disease admitted for soft tissue injuries including the scrotum, bilateral thighs, and perineum, because his thigh rolled into a rolling machine. His vital signs were stable. There was no testicular and anal injury. b After several debridements, a medial circumflex artery perforator-based local flap rotation, and split-thickness skin grafting were performed. c After 1 month, the wound was well healed. According to the five-category algorithm, he had intubation, required restraint, and transfusion—a total of three factors that could signify an advanced wound