fig4
Figure 4. Option 2. (A) Incise midline; (B) Uncover underlying penile structures and perform orchiectomy; [C(i)] Penectomy (maintain tunica and nerve bundles), urethrectomy and spatulation of urethra to perineal urethrostomy; [C(ii)] Option to perform complete penectomy and not preserve nerves; (D) Closed in midline.