fig1

Epispadias: recent techniques

Figure 1. Penopubic epispadias. (A) Preoperative appearance of the patient with penopubic epispadias. (B) Complete penile disassembly. Glans with neurovascular bundles. Both corpora cavernosa completely detached from the glans and mobilized urethral plate. Silicone urinary catheter placed inside the urethra. (C) Correction of dorsal curvature using grafting technique. Both corpora joined and derotated. Glans with two neurovascular bundles positioned dorsally. (D) The urethral plate is transposed ventrally and fixed to the corpora cavernosa. (E) Tubularization of the urethral plate over the silicone catheter. Glans is fixed to the corpora cavernosa. Glansplasty forming conical glans is finished. Gap between tubularized urethral plate and glans is visible and is approximately 2 cm long. (F) Mobilization of the preputial skin flap for urethral reconstruction. (G) Urethroplasty is completed using preputial island skin flap that is anastomosed proximally to the tubularized urethral plate and distally with the glandial part of the urethral plate. Tubularization is performed around the urinary catheter. Suture lines are covered with vascular subcutaneous tissue. (H) Outcome at the end of surgery. The urethral stent is positioned in the neourethra. The penile shaft is reconstructed using available penile skin.

Plastic and Aesthetic Research
ISSN 2349-6150 (Online)   2347-9264 (Print)

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Portico

All published articles are preserved here permanently:

https://www.portico.org/publishers/oae/