INTRODUCTION: Squamous cell carcinoma is the most common malignant tumor of the penis, there was a close correlation between disease location and involvement of inguinal lymph nodes by metastases. Inguinal lymphadenectomy allows early detection of micrometastases inguinal, offer better chances of cure or palliation, but result in large losses of tissue. However the flap, vertical rectus abdominis (VRAM) allows coverage of large soft tissue defects in areas like the groin. METHODS: Were studied four cases of patients with squamous cell carcinoma of penis, who underwent inguinal lymphadenectomy and reconstruction with VRAM. RESULTS: The patients evolved without local complications or abdominal wall, except one case of bilateral reconstruction that showed areas of cutaneous necrosis and epidermolysis necessity with skin grafting as well as seroma at the receptor area. CONCLUSION: The VRAM allows coverage of large losses of substance in the groin, allowing primary closure of the donor area.
Surgical flaps; Penile neoplasms; Reconstructive surgical procedures; Groin
