. Manual of operative surgery. elow the glans. Make a transverse hole through the prepuce near its base(Fig. 879, c, c) and push the glans through it. The prepuce now lies on the topof the penis, and by suturing the edges of the wound in it to the vivified edges ofthe urethral defect, the latter can be closed (Fig. 880). IV. A defect remains at the base of the penis. To close this, vivify theedges of the defect, and forming a flap (Fig. 881, a), turn it over and sutureits edges to the edges of the defect, thus providing an epidermal lining to theportion of the urethra covered. Another skin-fla
. Manual of operative surgery. elow the glans. Make a transverse hole through the prepuce near its base(Fig. 879, c, c) and push the glans through it. The prepuce now lies on the topof the penis, and by suturing the edges of the wound in it to the vivified edges ofthe urethral defect, the latter can be closed (Fig. 880). IV. A defect remains at the base of the penis. To close this, vivify theedges of the defect, and forming a flap (Fig. 881, a), turn it over and sutureits edges to the edges of the defect, thus providing an epidermal lining to theportion of the urethra covered. Another skin-flap (Fig. 881, a) is reflected andmade to cover the exposed raw surface of flap a. This procedure is objection-able in that the skin-flap a will assuredly develop hair and cause trouble. 723 724 EPISPADIAS It is far better to cover the opening with a single flap—raw surface inwards—as Cheyne recommends. The contraction which subsequently occurs is farless objectionable than the growth of hair inseparable from Thierschs
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