PMC5966684_01
Swollen and dark-coloured penile shaft and purulent discharge from preputial ring.
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There was malodorous, thick, purulent discharge from his preputial ring and we could not retract the foreskin (Figure 1).
Preoperative ultrasonography of the penile shaft demonstrating hyperechogenic fluid collection with gas at the middle of the penile shaft, in contact with the right corpus cavernosum and corpus spongiosum (1) and gas in the right corpus cavernosum (2).
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Moreover, there was gas in the right corpus cavernosum and hyperemia of the surrounding tissue (Figure 2).
Intraoperative photo demonstrating normal, well-vascularised glans (1), corpus spongiosum (2), penile urethra (3), and clamped right cavernosal artery (4). There are two points on penile urethra which were debrided due to infection (arrows).
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fig3
However, partial penectomy was performed mainly due to the partial excision of corpus spongiosum and urethra (Figure 3).
Penis after the closure with skin flaps.
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Penile skin flap was reapproximated over the surgical trauma's surface and the urethra was spatulated and approximated to the penile skin with sutures (Figure 4).