Glans Resurfacing with Skin Graft for Penile Cancer: A Step-by-Step Video Presentation of the Technique and Review of the Literature

Figure 4

(a) The graft is rolled over glans starting from the ventral side. Quilting sutures are placed accordingly. (b) A meatotomy is performed to compensate for possible stricture at the level of the meatus due to sutures approximating the skin graft to the urethra. (c) The proximal end of the graft is sutured to the distal shaft skin by everting the edges in order to recreate the corona of a normal penis. Multiple quilting sutures secure the graft to its bed. (d) A suprapubic and a urethra catheter are placed. The penis is dressed with multiple gauzes and compressed with an elastic band for graft immobilization.

(a)

(b)

(c)

(d)