"Hiawatha" scrotal reconstruction.

Total reconstruction of the scrotal sac in a young adult male is described. A normal-appearing scrotum and functional testicles resulted from the two-stage procedure, in which the testicles were first implanted in the thighs, where they developed firm pseudocapsules around themselves, and these fibrous elements were then turned on themselves and sutured together in the second stage to provide a smooth vascular bed for split skin graft coverage. Three-year follow-up reveals normal sperm count.