PMC6529784_01
Preoperative - A/C: Side views; B: Frontal view; D/F: 45  views; E: Back view.
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PMC6529784_01_gr1.jpg
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A BMI of 27 was calculated. (Fig. 1).
A-B: Preoperative surgical demarcation. C: Dissection of the penis and spermatic cord; D: Orchidopexy of the right testicle.
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The tunica albuginea was opened, to avoid hydrocele, and bilateral orchidopexy was made to avoid testicular torsion. (Fig. 2).
A/B: The resected lesion, frontal and side view.
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PMC6529784_01_gr3.jpg
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During the resection of the lesion (Fig. 3) (sent to anatomopathological study), we preserved two posterolateral healthy skin flaps in the perineal region, which were used for reconstruction of the scrotum.
Postoperative - A/B: Immediate postoperative - partial skin graft of the penile body with posterior Z-plasty to avoid scar contracture and reconstruction of the scrotum with the posterolateral skin flaps. C: The closure done to assure good integration of the skin graft.
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Subsequent coverage with the aforementioned flaps was then performed (Fig. 4).
A: 7-days postoperative; B: 20-month follow-up.
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The follow-up was kept for 20 months (Fig. 5).