Mp40-02 genital Self-Image Perceptions and Their Impact on Sexual Functioning Among Adult Males: A Clinical Questionnaire Based Survey.

Abstract

disease. Endoscopic biopsy of the membranous and prostatic urethra was normal. A circumcision incision is made. The penis is degloved. 3cm wide dorsal penile skin is preserved with its underlying dartos tissue. Both the corpora cavernosa with urethra are excised. After oncological clearance neo urethra is constructed. The proximal membranous urethra is identified. The flap of dorsal penile skin with dartos is tubularised over a catheter, rotated down to the perineum and then anastomosed to membranous urethra.RESULTS: We have performed this new technique in 5 patients. All 5 patients voided well through the neourethral opening. The mortality of squamous cell carcinoma is high. With our new technique, patients have a quality voiding. Two patients died due to local recurrence within 6 months. One patient required DVIU for anastomotic narrowing.CONCLUSIONS: Our new technique of penile skin flap neourethra after radical penile amputation allows patients to void from the perineum and are continent. It gives an option for those who refuse ileal conduit and provides better quality of life.