case_images: PMC9424042_01
case_images: Locally advanced perineal carcinoma. (a) A voluminous and heterogeneous perineal mass. (b) Total penectomy and pelvis exenteration with resection of both ischiopubic branches.
case_images: CRIU2022-4466602.001.jpg
case_images: PMC9424042_01_CRIU2022-4466602.001.jpg
case_images: fig1
case_images: Osteotomy and resection of both ischiopubic branches were performed for on block removal of surgical piece (Figure 1).
case_images: PMC9424042_02
case_images: 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.
case_images: CRIU2022-4466602.002.jpg
case_images: PMC9424042_02_CRIU2022-4466602.002.jpg
case_images: fig2
case_images: 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)).
case_images: PMC9424042_03
case_images: PMC9424042_04