PMC6222233_01
Initial examination revealing phimosis with purulent drainage.
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Examination under anesthesia demonstrated phimosis with purulent drainage from the phimotic ring as well as induration of the penile shaft (Figure 1).
Dorsal and ventral slits with exposure of the glans revealing nonviable tissue on the dorsal aspect of the penis.
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There appeared to be necrotic, nonviable tissue involving the dorsal aspect of the glans and shaft of the penis (Figure 2).
Remaining tissue appeared viable following degloving and debridement of the entire penis.
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All nonviable tissue was sharply debrided and the remaining tissue of the proximal shaft and ventral aspect of the penis appeared viable (Figure 3).
Necrotic tissue of the dorsal glans and shaft following initial irrigation and debridement.
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On initial exam, the dorsal aspect of the glans and shaft of the penis were found to be necrotic and nonviable (Figure 4).
Remaining penile shaft after glansectomy and partial penectomy.
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The corpora of the penile shaft was then reapproximated in a tubularized fashion using interrupted 2-0 Vicryl suture through the tunica albuginea (Figure 5).
Dorsal shaft following placement of split thickness skin graft.
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The graft was wrapped around the shaft of the penis and secured into place using anchoring interrupted 4-0 chromic suture (Figures 6 and 7).
Ventral view of shaft following placement of split thickness skin graft.
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The graft was wrapped around the shaft of the penis and secured into place using anchoring interrupted 4-0 chromic suture (Figures 6 and 7).