title: Glans reconfiguration for management of glanular mutilation.
abstract: BACKGROUND
  The glans penis is prone to mutilation in a handful of conditions, some accidental and others iatrogenic. Deformed functioning remnants of the glans challenge the surgeon's decision. Neither is the glans totally amputated, justifying a neoglansplasty, nor are the remnants cosmetically acceptable, though retaining sensibility and engorgement.
  
  
  OBJECTIVE
  In this work, we described the "reconfiguration of the glans penis" whereby deformed glanular tissue remnants can be made into a functional and cosmetically acceptable glans.
  
  
  METHODS
  Five patients with separate mutilated lumps of functioning glanular tissue were operated upon. The lumps were mobilized and flattened into sheets and configured to redrape the summit of the penis, minding their vascular and nerve supply.
  
  
  METHODS
  Cosmetic and functional outcome.
  
  
  RESULTS
  The outcome was cosmetically acceptable for all patients in comparison to the preoperative state.
  
  
  CONCLUSIONS
  Glans reconfiguration may possibly confer an acceptable cosmetic outlook to a mutilated glans without compromising valuable functional characteristics.
authors.affiliation: Department Andrology, Faculty of Medicine, Cairo University, Egypt. dr-osama@link.net
authors.forename: Osama
authors.initials: O
authors.lastname: Shaeer
authors.forename: Ashraf
authors.initials: A
authors.lastname: El-Sebaie
authors.forename: Ahmed
authors.initials: A
authors.lastname: Sherif
authors.forename: Ahmad
authors.initials: A
authors.lastname: El-Sadat
authors.forename: Ahmed
authors.initials: A
authors.lastname: Shaeer
mesh_terms: D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000473:pathology* / Q000601:surgery*; D010413:Penis / Q000473:pathology* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome