PMC5217138_01
A 2-year-old boy with absent penis. A pyelostomy and colostomy were done in neonatal period for urinary sepsis
JIAPS-22-38-g001.jpg
PMC5217138_01_JIAPS-22-38-g001.jpg
F1
A 2-year-old child was referred with an absent phallus, well-developed scrotum, and normally descended testicles [Figure 1].
Steps of Scrotal phalloplasty (Bajpai technique). (a) The phalloplasty incision marked. (b) Phalloplasty completed. (c) View of perineal urethrostomy. (d) A tunneler (urethral dilator) is used to create a tunnel from just anterior to perineal urethrostomy, which would exit at tip of penis. A preformed buccal mucosal tube is drawn into this tunnel and anchored (Not shown in this figure)
JIAPS-22-38-g002.jpg
PMC5217138_01_JIAPS-22-38-g002.jpg
F2
A scrotal phalloplasty was performed [Figure 2] according to the technique described by Bajpai with creation of perineal urethrostomy. At 3.5 years, a buccal musosal tube was created and inserted into the perineum and tunneled to exit at the tip of neophallus [Figure 2] with a view to connect the 2 ends at a later date.