Glans reconfiguration for management of glanular mutilation.
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.
Shaeer
Osama
O
Department Andrology, Faculty of Medicine, Cairo University, Egypt. dr-osama@link.net
El-Sebaie
Ashraf
A
Sherif
Ahmed
A
El-Sadat
Ahmad
A
Shaeer
Ahmed
A
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