ABSTRACT
Penile carcinoma is relatively common in many underdeveloped countries, but rare in the United States and Europe. Penile carcinoma occurs almost exclusively in uncircumcised men and is associated with poor hygiene and papilloma virus infection. Prior to surgery, a magnetic resonance imaging or penile ultrasound can be helpful in determining the proximal extent of the penile lesion. A condom or surgical glove can be placed over the penile lesion, depending on the surgeon’s preference. The circumferential incision is carried down through the skin and subcutaneous tissue and the neurovascular bundle is identified, mobilized, and divided. Attention is then turned to the corpora spongiosum and the urethra is isolated and divided. The penile skin is then brought over as a hood on the distal penis and a small opening is made in the reapproximated penile skin to accommodate the urethra. The urethral neomeatus is then “matured” much as one would do with an ileal conduit stoma.
