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Dr. Alter’s Before and After
MALE GENITAL RECONSTRUCTION

PATIENT 9

MALE GENITAL RECONSTRUCTION

22 year old with primary lymphedema of the scrotum, penis, and perineum. He underwent removal of the scrotum and underlying tissue with scrotum reconstruction using split thickness skin grafts. His penis was not significantly involved. 
a, b. Pre-operation c. Intraoperation showing skin graft d. Post-surgery at 6 months’

PATIENT 10

MALE GENITAL RECONSTRUCTION

33 year old with lymphangioma circumscriptum of the scrotum and perineum. He underwent resection of the entire scrotum and perineal lymphangioma, scrotum reconstruction with split thickness skin grafts, skin graft to the base of the penis, and closure of the perineal wound. 
a-d: Pre-operation e,h: Post- surgery at 10 months

PATIENT 11

MALE GENITAL RECONSTRUCTION

32 year old who had necrotizing fasciitis (flesh-eating bacteria) over his abdomen and genitalia. He also developed a large urethral fistula. He had previous skin grafts to his abdomen and penis with burying of his testicles into his thighs by other physicians. He underwent a two-stage reconstruction. He had removal of the restricting skin graft of his penis, which was replaced with a thick skin graft, correction of the urethral fistula using a gracilis muscle flap, and release of his testicles with scrotum reconstruction using a split thickness skin graft.
a. Pre-operation b. Pre-operation showing urethral fistula
c, d. Post-surgery after second-stage
e. Post-surgery after second-stage showing patient urinating out of the end of his penis

PATIENT 12

MALE GENITAL RECONSTRUCTION

37 year old man who had unknown substance injected into his scrotum ten years earlier resulting in scrotum inflammation and distortion. 
a, b. Pre-operation c. Area of skin and mass to be removed d. End of surgery

PATIENT 13

MALE GENITAL RECONSTRUCTION

20 year old had amputation of part of the head of his penis during a circumcision at birth. It was replanted. Pt underwent improvement in the scars of the head of his penis. 
a-c: Pre-operation d-f: Post-surgery

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