Repair of Proximal Hypospadias
Proximal hypospadias repair remains a challenging reconstructive procedure for even the most seasoned pediatric urologist. Complication rates range between 20% and 60%. Although the basic steps are similar to those…
Laser Treatment of the Penis
Laser treatment of penile lesions began in the 1980s. Laser phototherapy has been applied to both benign and malignant penile lesions. Over the intervening decades, many studies have been published…
Operations for Priapism
Priapism is a pathologic condition consisting of prolonged penile erection unrelated to sexual arousal or desire. Incidence rates of 0.34 to 5.34 per 100,000 person-years have been estimated among the…
Repair of Genital Injuries
Genital injuries are rare, but their impact can have devastating consequences to a patient’s physical and psychological health, impacting both sexual and reproductive function. The goal of surgical repair is…
Undescended Testis
Introduction and Preoperative Considerations If a testis has not descended into the scrotum by 6 months of age, surgical treatment should be considered. A child with bilateral nonpalpable testes should…
Total Penectomy
Preoperative Preparation and Planning Penile cancer is a relatively uncommon diagnosis among men in the United States and Europe and primarily occurs in older uncircumcised men and in locations with…
Insertion of Semirigid Penile Prostheses
Semirigid rod and malleable penile prostheses are implanted less commonly than multicomponent inflatable devices because of patient preference for more physiologic results with devices that inflate and deflate. Nevertheless, flexible…
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…
