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Penile Cancer
Published in Karl H. Pang, Nadir I. Osman, James W.F. Catto, Christopher R. Chapple, Basic Urological Sciences, 2021
Eleni Anastasiadis, Nicholas A. Watkin
Glans penisDrainage towards the frenulum.Encircles the corona and unites with the dorsal lymphatic vessel.Traverses through Buck’s fascia to the base of the penis.Drains into the superficial and deep inguinal lymph nodes via the presymphyseal lymphatics.
Anatomy & Embryology
Published in Manit Arya, Taimur T. Shah, Jas S. Kalsi, Herman S. Fernando, Iqbal S. Shergill, Asif Muneer, Hashim U. Ahmed, MCQs for the FRCS(Urol) and Postgraduate Urology Examinations, 2020
The nerves supplying the penis include: Dorsal – Passes underneath Buck’s fascia to supply the glans penis.Cavernosal – Provides autonomic supply to the corporal bodies.Perineal – Supplies the ventral aspect of the penis.
Blocks of Nerves of the Trunk
Published in Bernard J. Dalens, Jean-Pierre Monnet, Yves Harmand, Pediatric Regional Anesthesia, 2019
After their emergence from under the pubic bones, the dorsal nerves of the penis and their branches are enclosed in a fat-filled subpubic space limited by (Figure 4.18A and B): Above and posteriorly, the perineal membraneAbove and anteriorly, the deep layer of the fascia superficialis and the suspensory ligament of the penisAnteriorly, in the penis, the Buck’s fasciaPosteriorly, the corpora cavernosa (covered by a fibrous envelope that is continuous with the Buck’s fascia at the neck of the penis)
War-related penile injuries in Libya: Single-institution experience
Published in Arab Journal of Urology, 2018
Abdalla M. Etabbal, Fathi F. Hussain, Mohamed O. Benkhadoura, Abdalla M. Banni
Grade I penile injuries were treated by simple suturing or just dressing of the injured skin (four patients), whereas Grade II injuries were treated by debridement and haemostatic suturing of Buck’s fascia and skin (eight). The treatment of Grade III penile injuries comprised debridement and haemostatic suturing of the tunica albuginea and Buck’s fascia (one), debridement and haemostatic suturing of lacerated glans (four) or debridement and reconstruction of injured corporal bodies and/or injured urethra in addition to the suprapubic cystostomy (six). Patients with Grade IV penile injuries underwent partial penectomy with skin grafting due to extensive skin loss (two patients), whilst the patients who sustained Grade V penile injuries underwent primary and meticulous reconstruction of the corporal bodies with realignment of fragile urethra over a 18-F silicone catheter with suprapubic urinary diversion (four) (Fig. 3).
Penile Sparing Techniques For Penile Cancer
Published in Postgraduate Medicine, 2020
The penis is composed of three cylindrical structures. The two corpus cavernosa lie dorsal to the corpus spongiosum, which surrounds the urethra. The tunica albuginea and deep (Buck’s) fascia surround the corpora and the deep dorsal vein, dorsal artery, and dorsal nerve. These layers serve as a barrier to an invasive malignancy by preventing its spread into the vascular corpora. The superficial (Dartos) fascia lies more superficial followed by dermal and epidermal layers. The subepithelial layers of the glans and inner layer of the foreskin are different from the shaft in that dartos is absent and replaced with lamina propria. The foreskin is a retractable fold of skin and mucosal tissue that covers the glans.
Lower urinary tract symptoms/benign prostatic hyperplasia and erectile dysfunction: from physiology to clinical aspects
Published in The Aging Male, 2018
Aldo E. Calogero, Giovanni Burgio, Rosita A. Condorelli, Rossella Cannarella, Sandro La Vignera
The central erectile structures are bilateral corpora cavernosa, seen as dorsolaterally placed low-reflectivity bodies on ultrasound, surrounded by the thick fibrous tunica albuginea. The corpora cavernosa are formed by multiple sinusoids composed of endothelium and smooth muscle. These sinusoids are capable of substantial volume expansion. The ventrally located corpus spongiosum is enclosed by a thinner layer of tunica albuginea and surrounds the penile urethra. The corpus spongiosum is anatomically independent of the cavernosa. The three corpora are enclosed by the more superficial Buck’s fascia.