Inflatable Penile Prosthesis Implantation
The multicomponent three-piece inflatable penile prosthesis (IPP) is the most frequently implanted penile prosthetic in the United States ( Fig. 124.1 ). The original IPP was introduced in 1973 by…
Circumcision and Dorsal Slit or Preputioplasty Circumcision
Circumcision Circumcision is among the most commonly performed urologic surgeries. Historically, it is also one of the oldest and at times controversial procedures. Indications include religious rite, social habit, and…
Partial Penectomy
Preoperative Preparation and Planning Partial penectomy is the surgical standard of care for invasive tumors of the mid to distal penis. A distance of 2 cm from the surgical margin of…
Pediatric Meatotomy and Distal Reconstruction
The distal urethra is commonly involved in pediatric urologic surgical interventions. The most frequent indications for distal urethral reconstruction are meatal stenosis and distal hypospadias. Less common indications, such as…
Reconstruction of Strictures of the Penile Urethra
The goal of penile urethral reconstruction should be unobstructed micturition from a glanular meatus with excellent cosmesis. Most repairs may be achieved in a single operation utilizing penile skin flaps…
Penile Curvature in Pediatric Patients
Penile Torsion Penile torsion is defined as rotation along the long axis of the penis. It occurs in approximately 1 in 80 patients. The rotation almost always occurs in a…
Penile Arterial Revascularization
Revascularization can be done by several techniques, all of which have limitations. The operations that have been most successful connect the inferior epigastric artery to the dorsal artery (revascularization) or…
Hidden Penis
Penile concealment is an uncommon urologic condition that often prompts concerned parents to seek the care of a urologic surgeon. Some patients are candidates for intervention, but others can be…
Reconstruction of Strictures of the Bulbar Urethra
The view(s) expressed herein are those of the author(s) and do not reflect the official policy or position of Brooke Army Medical Center, the US Army Medical Department, the US…
Vasovasostomy and Vasoepididymostomy
Vasectomy reversal can be performed under local, regional, or general anesthesia; however, the authors prefer general anesthesia to limit motion artifact while working under the operating microscope. Patient preparation includes…
