Preservation of penile length in penile cancer and trauma by use of a pedicled flap.

A surgical technique is described for the treatment of carcinoma and injury involving the distal penile shaft in which a standard partial penectomy would leave inadequate penile length for satisfactory voiding. As an alternative to standard total penectomy with perineal urethrostomy that is used in this situation, partial penectomy is performed and a flap of suprapubic and scrotal skin is rolled into a new proximal penile shaft covering. This technique offers the patient the advantage of voiding in the standing position with a penile stump, and the possibility for sexual satisfaction and less physical disfigurement.