PMC3963353_01
(a) Case 1 at presentation: Clean excision of the foreskin and distal third of the glans. (b) Case 2 at presentation: Clean excision of all the glans
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F1
It was immediately recognized that half of the penile glans had been amputated in the first case [Figure 1a] and in the second one, the entire glans had been amputated and the corpora cavernosa were sectioned at their distal part [Figure 1b].
Steps of the procedure. (a, b) Urethral mucosa anastomosis formed end-to-end with interrupted sutures over the Foley catheter
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F2
The same technique of reattachment was applied in both cases: The cut surfaces were cleaned with sterile saline, an 8-Fr Foley catheter was inserted through the urethra of the amputated part and the proximal urethral stump; the urethra and the underlying corpus spongiosum were anastomosed with a single layer of interrupted sutures Vicryl 4/0 over the Foley catheter [Figure 2a and b].
Immediate result after surgery: (a) case 1 (b) case 2
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F3
The graft returned to normal pink color in a few minutes [Figure 3a and b].