Cover -- Title page -- Copyright page -- Contents -- List of Contributors -- Preface -- Acknowledgments -- 1: Surgical Anatomy of the Male External Genitalia -- Introduction -- The perineum -- Terminology in relation to the fascial layers in the urogenital region of the perineum -- The scrotum and scrotal contents -- Blood supply, lymphatic drainage and cutaneous innervation of the scrotum -- The penis -- Blood supply, lymphatic drainage and innervation of the penis -- Ligamentous support of the penis -- 2: Basic Perioperative Considerations for Genitourethral Surgery -- Introduction -- Preoperative preparation -- Preoperative imaging -- Perioperative checklist -- Patient preparation in theatre -- Patient warming -- Deep venous thrombosis prophylaxis -- High risk group -- Moderate risk group -- Low risk group -- Surgical sutures -- Polyglactin (VicrylTM) -- Vicryl rapideTM -- Polydioxanone sutures (PDSTM) -- Silk -- Polypropylene (ProleneTM) -- Nylon (EthilonTM) -- Suture properties -- Closure of dead space and the use of drains -- Surgical wound dressing -- Hydrocolloids (e.g. Granuflex) -- Alginates (e.g. Kaltostat) -- Foam dressings (e.g. Lyofoam) -- Hydrogels (e.g. Intrasite Gel) -- Debriding agents (e.g. streptokinase) -- Negative pressure topical dressings -- Vacuum-assisted closure dressings -- Modulation of erectile function before and after penile surgery -- Local anesthetic techniques for penile surgery -- Penile block technique -- Penile shaft ring block -- Conclusions -- Acknowledgments -- 3: Basic Surgical Techniques -- Development of plastic surgery -- Skin -- Wound healing -- Inflammatory: 0-7 days -- Proliferative: 4 days-3 weeks -- Remodeling: 3 weeks-2 years -- Reconstruction -- Primary surgical closure -- Secondary closure -- Skin grafts -- Flaps -- References -- 4: Congenital Penile Abnormalities -- Circumcision.

Clinical features -- Surgical technique -- Surgical complications -- Preputioplasty -- Phalloplasty (congenital curvature, penile torsion, congenital webbed penis) -- Surgical technique -- Congenital concealed penis (megaprepuce)/penile unburying -- Surgical technique -- Hypospadias -- Instruments -- Surgical techniques -- Postoperative dressings -- Distal repair with preservation of foreskin (preputioplasty) -- Proximal hypospadias -- Surgical technique -- Epispadias -- Surgical technique -- Key tips for the surgeon -- Acknowledgments -- 5: Surgical Management of Cryptorchidism and Testicular Tumors -- Pediatric inguinal orchidopexy -- Clinical features -- Surgical management -- Surgical risks -- Prognosis -- Patient preparation -- Surgical technique -- Postoperative care -- Management of intra-abdominal testicles -- Surgical management -- Surgical risks -- Patient preparation -- Surgical technique -- Inguinal orchidectomy -- Clinical features -- Investigations -- Surgical risks -- Surgical management -- Patient preparation -- Surgical technique -- Postoperative care -- 6: Surgery for Penile Curvature -- Introduction -- Clinical features -- Assessment -- Surgical management -- Risks -- Outcomes -- Patient preparation -- Surgical techniques -- Tunica albuginea plication -- Nesbit and plication procedures -- Modifications of the Nesbit procedure -- Plaque incision with grafting -- Penile prosthesis for penile curvature associated with erectile dysfunction -- Dressings -- Postoperative care -- Partial plaque excision with pericardial grafting -- Key tips -- 7: Surgery for Erectile Dysfunction -- Introduction -- Clinical features -- Surgical management -- Semi-rigid malleable rods -- Two-piece hydraulic penile prosthesis -- Three-piece hydraulic penile prosthesis -- Patient preparation -- Theater set up -- Specialist equipment -- Surgical risks.

Infection -- Mechanical failure and autoinflation -- Implant erosion -- SST deformity -- Surgical outcomes -- Surgical technique -- Surgical approach -- Insertion of a penile prosthesis -- Intraoperative trouble shooting -- Urethral perforation -- Cylinder crossover -- Posterior crural perforation -- Surgical tips for difficult cases -- Extensive corporal fibrosis -- Peyronie's disease -- Managing postoperative complications -- The infected implant -- Mechanical failure -- Managing implant erosion -- Surgery for SST deformity -- Postoperative care -- Conclusions -- 8: Augmentation Procedures for the Penis -- Introduction -- Clinical features -- Assessment -- Surgical management -- Risks -- Outcomes -- Patient preparation -- Surgical techniques -- Penile lengthening procedures -- Penile girth enhancement surgery -- 9: Surgery for Male Infertility -- Introduction -- Clinical features -- Obstructive azoospermia -- Nonobstructive azoospermia -- Assessment -- Surgical management -- Obstructive azoospermia -- Nonobstructive azoospermia -- Surgical techniques -- Obstructive azoospermia -- Nonobstructive azoospermia -- Conclusion -- 10: Urethral Reconstruction and Artificial Urinary Sphincters -- Urethral reconstruction -- Clinical features -- Assessment -- Surgical management -- Risks -- Patient preparation -- Surgical techniques -- Transperineal access to the bulbar urethra -- Urethroplasty for idiopathic bulbar urethral strictures -- Urethroplasty for traumatic urethral strictures -- Penile urethroplasty -- Salvage surgery -- Postoperative follow-up -- Artificial urinary sphincter -- Implantation technique -- 11: Surgical Treatment of Penile Cancer -- Introduction -- Clinical features -- Investigations -- Surgical treatment of premalignant penile lesions, Tis and Ta tumors -- Clinical features -- Surgical management -- Surgical risks -- Postoperative care.

Small invasive localized penile cancer (≥T1) -- Clinical features -- Larger invasive tumors of the glans penis (T2 lesions into corpus spongiosum) -- Glansectomy -- Partial and total penectomy -- Partial penectomy with urethral centralization -- Total penectomy -- Clinical features -- Advanced penile tumors (T3/T4 lesions) -- Clinical features -- Management of inguinal lymph nodes -- Dynamic sentinel lymph node biopsy procedure -- Inguinal lymph node dissection -- Clinical features -- Surgical management -- Patient preparation -- Radical inguinal lymphadenectomy -- Postoperative care -- Superficial modified inguinal lymphadenectomy -- Ilioinguinal and pelvic node dissection -- Clinical features -- 12: Penile and Scrotal Reconstruction -- Introduction -- Clinical features -- Assessment -- Surgical management -- Surgical risks -- Surgical outcomes -- Patient preparation -- Meatoplasty -- Glans reconstruction -- Total glans resurfacing -- Partial glans resurfacing -- Glansectomy -- Scrotal reconstruction -- Penile shaft reconstruction -- Surgical risks -- Radial artery based forearm free flap phalloplasty -- Microsurgical anastomosis -- Pubic phalloplasty -- Male genital lymphedema -- Surgical management -- Scrotal lymphedema -- Penile lymphedema -- Penoscrotal lymphedema -- 13: Surgery for Benign Scrotal and Foreskin Conditions -- Introduction -- Assessment -- Surgical management -- Surgical risks -- Surgical outcomes -- Vasectomy -- Clinical features -- Surgical risks -- Postoperative care -- Surgery for hydroceles -- Clinical features -- Surgical risks -- Surgical technique -- Postoperative care -- Epididymal cysts -- Clinical features -- Surgical risks -- Surgical technique -- Epididymectomy -- Clinical features -- Surgical risks -- Surgical technique -- Microdenervation of the spermatic cord -- Clinical features -- Surgical technique.

Frenuloplasty -- Clinical features -- Surgical risks -- Circumcision -- Clinical features -- Surgical risks -- Surgical outcomes -- Surgical technique -- Postoperative care -- Acknowledgment -- 14: Surgical Management of Genitourethral Emergencies -- Introduction -- Testicular torsion -- Clinical features -- Surgical management -- Surgical outcomes -- Paraphimosis -- Clinical features -- Surgical management -- Surgical outcomes -- Priapism -- Clinical features -- Surgical management -- Surgical outcomes -- Surgical techniques -- Penile fracture -- Clinical features -- Surgical management -- Surgical outcomes -- Urethral injury -- Clinical features -- Surgical management -- Surgical outcomes -- Testicular rupture -- Clinical features -- Fournier's gangrene -- Clinical features -- Surgical management -- Surgical outcomes -- Traumatic amputation of the genitalia -- Clinical features -- Surgical management -- Postoperative care -- Index.