case_images: PMC6222233_01
case_images: Initial examination revealing phimosis with purulent drainage.
case_images: CRIU2018-9798607.001.jpg
case_images: PMC6222233_01_CRIU2018-9798607.001.jpg
case_images: fig1
case_images: Examination under anesthesia demonstrated phimosis with purulent drainage from the phimotic ring as well as induration of the penile shaft (Figure 1).
case_images: Dorsal and ventral slits with exposure of the glans revealing nonviable tissue on the dorsal aspect of the penis.
case_images: CRIU2018-9798607.002.jpg
case_images: PMC6222233_01_CRIU2018-9798607.002.jpg
case_images: fig2
case_images: There appeared to be necrotic, nonviable tissue involving the dorsal aspect of the glans and shaft of the penis (Figure 2).
case_images: Remaining tissue appeared viable following degloving and debridement of the entire penis.
case_images: CRIU2018-9798607.003.jpg
case_images: PMC6222233_01_CRIU2018-9798607.003.jpg
case_images: fig3
case_images: All nonviable tissue was sharply debrided and the remaining tissue of the proximal shaft and ventral aspect of the penis appeared viable (Figure 3).
case_images: Necrotic tissue of the dorsal glans and shaft following initial irrigation and debridement.
case_images: CRIU2018-9798607.004.jpg
case_images: PMC6222233_01_CRIU2018-9798607.004.jpg
case_images: fig4
case_images: On initial exam, the dorsal aspect of the glans and shaft of the penis were found to be necrotic and nonviable (Figure 4).
case_images: Remaining penile shaft after glansectomy and partial penectomy.
case_images: CRIU2018-9798607.005.jpg
case_images: PMC6222233_01_CRIU2018-9798607.005.jpg
case_images: fig5
case_images: 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).
case_images: Dorsal shaft following placement of split thickness skin graft.
case_images: CRIU2018-9798607.006.jpg
case_images: PMC6222233_01_CRIU2018-9798607.006.jpg
case_images: fig6
case_images: 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).
case_images: Ventral view of shaft following placement of split thickness skin graft.
case_images: CRIU2018-9798607.007.jpg
case_images: PMC6222233_01_CRIU2018-9798607.007.jpg
case_images: fig7
case_images: 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).