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Management of Trauma to the Penis
Trauma to the penis and the testicles
is thought to be rare, but is far from it. For example, considering that
circumcision is done to ALL Muslims and Jewish, it is done to millions of
boys worldwide. And considering that every surgery has possible
complications, a procedure done to millions must result in thousands of
complications (at least). This is the case. Circumcision has resulted in
total and partial loss of the penis in many. The consensus was either to
leave this victim as is, or if the victim is less than one year old, convert
him to a female, which is easy, especially considering that the gender
identity (feeling of masculinity) is not yet well formed at this age. This
harsh destiny motivated me to devise surgical techniques that changed
the future of many:
Construction Of Neo-Glans Penis: A New Sculpturing Technique From
Rectus Abdominis Myo-Fascial Flap
O.K.Z. Shaeer and A. El Sebaie
J Sex Med 2005; 2: 259–265
Shaeer O. Restoration Of The Penis Following Amputation At Circumcision:
Shaeer’s A-Y Plasty. JSM-08-2007-294. In Press.
The first technique targets those with amputation of the glans (head of the
penis), making it possible to restore the shape of the penis using an
abdominal muscle and special sculpturing techniques.
The second technique targets those with total amputation of the penis,
restoring the penis by utilizing the reserve that is normally attached to
the pubic bone, with security measures that will prevent retraction of that
reserve back to where it came from
read more
 .
Circumcision is not the only cause of injury. My colleagues all over the
world and myself have treated gun shot injuries, cut injuries, caustic
injuries, thermal injuries and car accidents that have mutilated the
genitals. Strangest of all is the “hair-coil syndrome”, where a hair strand
from the mother falls to the penis of the child, spontaneously wraps around
it and tightens till it causes necrosis (death) of the penis, that falls
off! We have treated a lot of these rare cases with our techniques.
Neo-Glans Formation
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Rectus flap set to the recepient site. |
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Shaft Restoration
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The penis released after cutting the ligament. The "A" has been cut. Note the cavity between the penis and pubis. |
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De-epithelialized caudal rectangle. |
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Caudal fat rectangle inside the cavity and the skin triangle attached to the base of the penis to pull it up. |
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Download
Full Length Paper
Management of Fracture Penis
Fracture of the penis is a condition where
excessive force applied to the long axis of the penis in the erect state
results in rupture of the tunica albuginea of the corpus cavernosum.
Surgical management can be confusing and time consuming due to the
concealment of the tear in organized blood and edematous tissue,
necessitating extensive dissection in friable traumatized tissues,
especially if the tear is a small one, or if there are multiple tears.
I use methylene blue to aid the
localization of tunical and urethral tears in such cases. Methylene blue was
injected into the corpora cavernosa and through the urethral meatus to point
out tears. This rendered repair easy, reliable, safe and fast, and
eliminated the need for unnecessary lengthening of the surgical repair, as
well as the need for more complex imaging procedures.
Methylene Blue-Guided Repair of
Fractured Penis
O.K.Z. Shaeer
J Sex Med 2006;3:349–354
Download
Full Length Paper
Treatment of Mutilation of the
Glans by Re-sculpturing
Mutilation
of the glans of the penis occurs as a congenital abnormality or as a
complication of surgery or injury. Replacement of the glans with other
tissues deprives the patient of the unique erogenous sensation of glanular
tissues. If remnants of the glans still exist, they can be reconfigured into
the shape of a relatively normal glans with preservationof the erogenous
sensation:
Shaeer O, El-Sebaie A, Sherif ِ ِِA, El-Sadat
A. Re-Configuration of the Mutilated Glans. J sex Med. In Press
Download
Full Length Paper
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