Plastic surgery; its principles and practice . n for straightening the penis {Diiplay).—i. The penis has beenstraightened after a transverse incision through the skin, and contracted fibrous the longitudinal defect. 2. The transverse defect sutured longitudinally, with on-end mattress sutures. The glandular portion of the urethra is shown completed. corpus spongiosum, the thickened envelope of the penis and of the con-tracted septum between the corpora cavernosa. The skin defect isclosed longitudinally or with a pedunculated flap, or is grafted ( and 28c). In any operation i
Plastic surgery; its principles and practice . n for straightening the penis {Diiplay).—i. The penis has beenstraightened after a transverse incision through the skin, and contracted fibrous the longitudinal defect. 2. The transverse defect sutured longitudinally, with on-end mattress sutures. The glandular portion of the urethra is shown completed. corpus spongiosum, the thickened envelope of the penis and of the con-tracted septum between the corpora cavernosa. The skin defect isclosed longitudinally or with a pedunculated flap, or is grafted ( and 28c). In any operation in which the formation of the urethra, penile orperineal, is attempted, an external urethrotomy, or in selected casesa suprapubic cystostomy should be done, and a permanent catheterinserted. Of the numerous operative procedures advocated for the relief ofhypospadias, I shall describe a few of the best. Every surgeon will haveto adopt suitable modifications or combinations of the methods inorder to lit the particular case. 3i8 PLASTIC SURGERY. Fig. 280.—Operation for straightening the penis (C. Beck).— i. The dotted areaon the under surface of the penis is the raw surface formed by straightening the penis aftera transverse incision. The dotted areas on the dorsum of the penis indicate the incisionsmade to form the flap from the prepuce. 2. The double pedicled flap of prepuce A isbrought forward over the glans and is sutured into the defect on the anterior surface.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
