The most common indication for revision in the referenced study was urethrostomy stenosis (18%) and deepening of the glans
The results are good with a fistula rate of 2% and a glans
dehiscence rate of 3%.
To the best of our knowledge, the case of glans
penis necrosis after implementation of a penile disassembly technique in a patient with Peyronie's disease has not been reported.
* Prevention of phimosis and balanoposthitis (inflammation of glans
and foreskin), penile retraction disorders, and penile cancer.
Caption: FIGURE 3: Intraoperative photo demonstrating normal, well-vascularised glans
(1), corpus spongiosum (2), penile urethra (3), and clamped right cavernosal artery (4).
penis was most commonly affected site in non-STU too, followed by penis (18.1%) and prepuce (13.9%) - a pattern similar to MGU.
Fine traction sutures were placed in the glans
. A ventral midline longitudinal incision was marked from the hypospadias opening to the distal circumcising incision at the coronal level.
The patient presented at the urology clinic with high-grade fever with chills and blackening of the glans
with penile swelling and inability to reduce the preputial skin to its normal position after retraction that occurred during a per-urethral catheterization attempt.
Histopathology from the nodule over the glans
showed keratinised squamous epithelium in the epidermis, clear zone (grenz zone) under the epidermis with sheets of foamy macrophages laden with AFB in the lamina propria and destroyed nerve bundles (Figure 2A).
When the patient awoke the next morning, he had a generalized skin eruption on his chin, trunk, buttocks, glans
penis, and extremities (figure).
Tissue samples of approximately 1cm3 sizes were collected from three different regions - proximal sigmoid flexure (PsF), distal sigmoid flexure (DsF) and glans
The rate of complications with the use of Plastibell device (PD) are reported to be 2.0-3.0% in some studies.5,6 Plastibell circumcision is largely under vision, almost blood less, least painful and easy to perform, with no tragic complications like traumatic amputation of glans
, urethro-cutaneous fistula etc,7,8 which are frequently seen in bone cuter method.