case_images: PMC3963353_01
case_images: (a) Case 1 at presentation: Clean excision of the foreskin and distal third of the glans. (b) Case 2 at presentation: Clean excision of all the glans
case_images: UA-6-85-g001.jpg
case_images: PMC3963353_01_UA-6-85-g001.jpg
case_images: F1
case_images: It was immediately recognized that half of the penile glans had been amputated in the first case [Figure 1a] and in the second one, the entire glans had been amputated and the corpora cavernosa were sectioned at their distal part [Figure 1b].
case_images: Steps of the procedure. (a, b) Urethral mucosa anastomosis formed end-to-end with interrupted sutures over the Foley catheter
case_images: UA-6-85-g002.jpg
case_images: PMC3963353_01_UA-6-85-g002.jpg
case_images: F2
case_images: The same technique of reattachment was applied in both cases: The cut surfaces were cleaned with sterile saline, an 8-Fr Foley catheter was inserted through the urethra of the amputated part and the proximal urethral stump; the urethra and the underlying corpus spongiosum were anastomosed with a single layer of interrupted sutures Vicryl 4/0 over the Foley catheter [Figure 2a and b].
case_images: Immediate result after surgery: (a) case 1 (b) case 2
case_images: UA-6-85-g003.jpg
case_images: PMC3963353_01_UA-6-85-g003.jpg
case_images: F3
case_images: The graft returned to normal pink color in a few minutes [Figure 3a and b].