Penile reconstruction after total penectomy or urethra-sparing total penectomy.
A technique for 1-stage penile reconstruction is described in which several innovations were introduced to improve the functional results. Two flexible rod penile prostheses are wrapped in synthetic mesh, which serves as a scaffold for the growing collagen fibers to replace the tunica albuginea. The proximal portions of the prostheses are placed in the corporeal stumps to provide added stability and the mesh-wrapped prostheses are covered with a scrotal flap. In patients who previously underwent a urethra-sparing penectomy the urethra is included in the reconstructed penis to provide a meatal location at the tip of the penis without the added risks of standard urethral reconstruction.
D006801:Humans; D008297:Male; D010412:Penile Neoplasms / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D019736:Prostheses and Implants; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D013526:Surgical Mesh; D014521:Urethra / Q000601:surgery