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Although vasovagal syncopal episodes (VSE) are a well-known complication of dermatologic surgery, there are currently no studies that report an incidence of VSE in Mohs surgery specifically. This study aims to provide data on the incidence of VSE in Mohs surgery by reviewing VSE incident reports from a private, community-based, outpatient Mohs surgery clinic. We report an incidence of VSE of 0.09% in Mohs surgery. This study offers the first data on the incidence of VSE during Mohs surgery and suggests that the incidence of VSE in Mohs surgery may be lower than what has been quoted as the reference standard for dermatologic surgery., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

A 67-year-old white man presented with a 3-year history of progressively worsening redness and irritation on the suprapubic area, scrotum, and penis. His primary care physician had been treating him unsuccessfully with topical antifungals and corticosteroids during this time. The patient had no significant pain, fever, chills, dysuria, gastrointestinal signs, or a history of sexually transmitted diseases. There was no previous history of malignancy, and his past medical history was not significant beyond an 8 pack-year history of tobacco use that was discontinued 40 years prior.