PMC3385383_01
(a) Acute electrical burns. (b) Penile gangrene
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F1
He presented with gangrene of right upper limb in its entirety, carbonization of external genitalia with subsequent complete loss of penis and left hemi scrotum and testis [Figure 1].
Flap pattern
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F2
In the first stage, the right paragenital non-hairy skin was tubularized to create a neourethra from the perineal urethrostomy site to pubic region [Figure 2].
Neourethroplasty
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F3
A tube within a tube was created from a single folded, 17 cm wide and 16 cm long groin flap [Figure 3].
Phalloplasty
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F4
With the catheter introduced onto the pubic urethra, urethral repair and skin closure with a tumble of the groin flap done [Figure 4].