Atlas of Male Genitourethral Surgery The Illustrated Guide EDITED BY Asif Muneer BSc, MB, MD, FRCS(Urol) Consultant Urological Surgeon and Andrologist University College London Hospitals; Honorary Senior Lecturer University College London London, UK Manit Arya MD, FRCS(Urol) Senior Lecturer and Honorary Consultant Urological Surgeon University College London Hospitals and Barts Cancer Institute Barts and the London School of Medicine and Dentistry Queen Mary University of London London, UK Gerald H. Jordan MD, FACS, FAAP(hon), FRCS(hon) Executive Secretary American Board of Urology Charlottesville, VA, USA This edition first published 2014 © 2014 by John Wiley & Sons, Ltd Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing program has been merged with Wiley’s global Scientific, Technical and Medical business to form Wiley-Blackwell. 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(Manit). III. Jordan, Gerald H. [DNLM: 1. Penile Diseases–surgery–Atlases. 2. Penis–surgery–Atlases. 3. Urogenital Surgical Procedures–Atlases. WJ 17] 617.4'6059–dc23 2013001676 A catalogue record for this book is available from the British Library. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Cover image: iStock File #21938946 © drorhan Cover design by Meaden Creative Set in 9.25/11.5 pt Minion by Toppan Best-set Premedia Limited 1 2014 Contents List of Contributors, v Preface, vii Acknowledgments, viii 1 Surgical Anatomy of the Male External Genitalia, 1 Vishy Mahadevan 2 Basic Perioperative Considerations for Genitourethral Surgery, 8 Rahul Mistry, Iqbal S. Shergill, Manit Arya and Anthony R. Mundy 3 Basic Surgical Techniques, 14 Afshin Mosahebi and Alex C.S. Woollard 4 Congenital Penile Abnormalities, 25 Nicol C. Bush and Warren T. Snodgrass 5 Surgical Management of Cryptorchidism and Testicular Tumors, 43 Manit Arya, Imran Mushtaq and Abraham Cherian 6 Surgery for Penile Curvature, 55 Laurence A. Levine, Jonas S. Benson and Asif Muneer 7 Surgery for Erectile Dysfunction, 71 Majid Shabbir, Asif Muneer and Suks Minhas 8 Augmentation Procedures for the Penis, 92 Giulio Garaffa, Salvatore Sansalone and David J. Ralph 9 Surgery for Male Infertility, 103 Nim Christopher and Asif Muneer 10 Urethral Reconstruction and Artificial Urinary Sphincters, 117 Daniela E. Andrich and Anthony R. Mundy 11 Surgical Treatment of Penile Cancer, 134 Simon Horenblas, Peter R. Malone and Asif Muneer 12 Penile and Scrotal Reconstruction, 151 Giulio Garaffa and David J. Ralph Additional contribution from Peter R. Malone 13 Surgery for Benign Scrotal and Foreskin Conditions, 168 Laurence A. Levine, Jonas S. Benson and Rowland Rees 14 Surgical Management of Genitourethral Emergencies, 181 Rowland Rees, Duncan Summerton, Nim Christopher and David J. Ralph Index, 196 iii List of Contributors Daniela E. Andrich MD, MSc, Simon Horenblas MD, PhD, FEBU Asif Muneer BSc, MB, MD, FRCS(Urol) FRCS(Urol) Professor of Urological Oncology Consultant Urological Surgeon and Consultant Urological Surgeon Chief, Department of Urology Andrologist University College London Hospitals Netherlands Cancer Institute-Antoni van University College London Hospitals London, UK Leeuwenhoek Hospital Honorary Senior Lecturer Amsterdam, The Netherlands University College London Manit Arya MD, FRCS(Urol) London, UK Senior Lecturer and Honorary Consultant Laurence A. Levine MD, FACS Urological Surgeon Professor of Urology Imran Mushtaq MD, FRCS(PaedSurg) University College London Hospitals and Rush University Medical Center Consultant Paediatric Urologist Barts Cancer Institute Chicago, IL, USA Great Ormond Street Hospital for Children Barts and The London School of Medicine London, UK and Dentistry Vishy Mahadevan PhD, FRCS Queen Mary University of London Barbers’ Company Professor of Anatomy David J. Ralph BSc, MS, FRCS(Urol) London, UK The Royal College of Surgeons of England St. Peter’s Andrology Centre; London, UK University College London Hospitals Jonas S. Benson MD London, UK Urology Fellow Peter R. Malone MBBS, FRCS, Department of Endourology MS, FEBU Rowland Rees BSc, FRCS(Urol) Loyola Medical Center Consultant Urological Surgeon Consultant Urological Surgeon Maywood, IL, USA Royal Berkshire Hospital Department of Urology Reading, UK University Hospital Southampton Nicol C. Bush MD Southampton, UK Assistant Professor Pediatric Urology Suks Minhas MD, FRCS(Urol) UT Southwestern Medical Center; Consultant Uro-Andrologist Salvatore Sansalone MD Children’s Medical Center Dallas University College London Hospitals Senior Lecturer in Urology Dallas, TX, USA London, UK Department of Experimental Medicine and Surgery Abraham Cherian MS, DNB, FRCS, Rahul Mistry MBChB, FRCS(Urol) University of Rome Tor Vergata FRCS(PaedSurg) Urology Fellow Rome, Italy Consultant Paediatric Urologist Christian Medical College Great Ormond Street Hospital for Children Vellore, India Majid Shabbir MD, FRCS(Urol) London, UK Consultant Andrologist Afshin Mosahebi FRCS, FRCS(Plast), Guy’s Hospital Nim Christopher FRCS(Urol) PhD, MBA London, UK Consultant Uro-Andrologist Consultant Plastic Surgeon St. Peter’s Andrology Centre; The Royal Free Hospital Iqbal S. Shergill BSc, MRCS, Institute of Urology London, UK FRCS(Urol) University College London Hospitals Consultant Urological Surgeon London, UK Anthony R. Mundy MS, FRCP, FRCS Wrexham Maelor Hospital Professor of Urology and Director Wrexham; Giulio Garaffa MD, FRCS (ad eundem) Institute of Urology Honorary Senior Lecturer Consultant Urologist University College London Hospitals University of Manchester St. Peter’s Andrology Centre; London, UK Manchester, UK University College London Hospitals London, UK v vi List of Contributors Warren T. Snodgrass MD Duncan Summerton BSc, MB, Alex C.S. Woollard BSc, BM Professor of Urology FRCS(Ed,Eng&Urol) Specialty