How to do a penile urethroplasty using a novel self-retaining penile retractor
Hannah Flynn1, Pankaj M Joshi2, Sanjay Balwant Kulkarni2
1Department of Urology, Toowoomba Hospital, Toowoomba, Queensland, Australia.
ANZ Journal of Surgery
|September 14, 2022
Summary
The Joshi-Kulkarni retractor offers stable, bloodless exposure for penile reconstructive surgery. This self-retaining device enhances surgeon ergonomics and reduces fatigue during urethroplasty.
Area of Science:
- Urology
- Surgical Instrumentation
- Reconstructive Surgery
Background:
- Effective retraction of urethral tissue is critical for successful penile reconstructive surgery.
- Current methods may present challenges in achieving stable and bloodless exposure.
- Minimizing surgeon fatigue is important for optimal surgical outcomes.
Purpose of the Study:
- To describe the technique of penile urethroplasty using the Joshi-Kulkarni penile retractor.
- To highlight the benefits of the Joshi-Kulkarni retractor in reconstructive penile surgery.
Main Methods:
- Utilizing the Joshi-Kulkarni penile retractor for atraumatic tissue compression at the penile base.
- Employing the self-retaining design for sustained operative field exposure.
- Performing penile urethroplasty with the described retractor.
Main Results:
- The Joshi-Kulkarni retractor provides stable and bloodless operative exposure.
- Non-traumatic tissue compression ensures patient safety.
- The self-retaining feature improves surgical ergonomics and reduces surgeon fatigue.
Conclusions:
- The Joshi-Kulkarni penile retractor is an effective tool for penile urethroplasty.
- It facilitates improved surgical exposure and reduced surgeon fatigue in reconstructive penile surgery.


