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Glans reconfiguration for management of glanular mutilation
Osama Shaeer1, Ashraf El-Sebaie, Ahmed Sherif
1Department Andrology, Faculty of Medicine, Cairo University, Egypt. dr-osama@link.net
The Journal of Sexual Medicine
|November 17, 2007
Summary
Glans reconfiguration offers a solution for mutilated penises, transforming deformed tissue remnants into a functional and aesthetically pleasing glans. This surgical technique preserves essential characteristics while improving cosmetic appearance.
Area of Science:
- Urology
- Plastic Surgery
- Reconstructive Surgery
Background:
- The glans penis is susceptible to mutilation from accidental or iatrogenic causes.
- Deformed glanular remnants present surgical challenges, being neither suitable for neoglansplasty nor cosmetically acceptable.
- These remnants often retain crucial functions like sensation and engorgement.
Observation:
- A novel surgical technique,
- reconfiguration of the glans penis
- was developed.
- Five patients with mutilated glanular tissue remnants underwent the procedure.
- The technique involves mobilizing, flattening, and reconfiguring tissue remnants to reconstruct the glans summit.
Findings:
- The primary outcome measures were cosmetic and functional results.
- All five patients achieved cosmetically acceptable outcomes compared to their preoperative state.
- The procedure successfully reconstructed the glans while preserving its vascular and nerve supply.
Implications:
- Glans reconfiguration offers a viable option for improving the cosmetic appearance of a mutilated glans.
- The technique preserves the functional characteristics of the glans, including sensation and engorgement.
- This approach provides a solution for challenging cases where traditional methods may not be suitable.
