PMC9424042_01
Locally advanced perineal carcinoma. (a) A voluminous and heterogeneous perineal mass. (b) Total penectomy and pelvis exenteration with resection of both ischiopubic branches.
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fig1
Osteotomy and resection of both ischiopubic branches were performed for on block removal of surgical piece (Figure 1).
PMC9424042_02
En-bloc excision of carcinoma and reconstruction of perineal defect. (a) Perineal wound indurated on palpation with drainage of purulent material. (b) En-bloc excision of tumor tissue. The prostatic apex can be seen. (c) Ventral side of neourethra. (d) Double buccal mucosa tubular graft. The neourethra is passed through the fasciocutaneous flap.
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fig2
Phase I: Total penectomy was performed, and en bloc removal of tumor tissue was done (Figures 2(a) and 2(b)). Phase II: Neourethra was performed with a double buccal mucosa graft, and internal pudendal fasciocutaneous flap was performed to cover the dead space and provide vascular support to the neourethra (Figures 2(c) and 2(d)).
PMC9424042_03
PMC9424042_04