fig3

Figure 3. Nullification, option 1. [A(i) and (ii)]. Incise along groin crease and penile circumcision line; (B) Dissect through dartos tissue to remove testes and separate penile skin from underlying penile structures; [C(i)] Penectomy (preservation of tunica albuginea and nerve bundle, urethrectomy and spatulation of the urethra, [C(ii)] Option to perform complete penectomy (D). External flaps are advanced toward urethrotomy.