ABSTRACT
A broad overview is provided of the normal anatomy of the male genitalia to offer
the best surgical outcomes in cases related to congenital abnormalities, trauma, cancer-related
extirpation, and aesthetics. Neural and vascular anatomy is discussed in depth due
to its critical role in maintaining function and in assuring tissue viability.
KEYWORDS
Penis - phallus - scrotum - testes - urethra - corona - corpora spongiosum - corpora
cavernosa - anatomy - reconstruction
REFERENCES
- 1 Sharp D S, Angermeier K W. Surgery of penile and urethral carcinoma. In: Wein A J,
Kavoussi L R, Novick A C, et al, eds. Campbell-Walsh Urology. Philadelphia, PA: Saunders
Elsevier; 2007: 993-1022
- 2 Goldstein I, Hatzichristou D, Seftel A D. Arterial reconstruction for erectile impotence.
In: Webster G, Kirby R, King L, et al, eds. Reconstructive Urology. Cambridge, MA:
Blackwell Scientific Publications; 1993: 935-941
- 3
Brock G, Hsu G L, Nunes L, von Heyden B, Lue T F.
The anatomy of the tunica albuginea in the normal penis and Peyronie's disease.
J Urol.
1997;
157
(1)
276-281
- 4 Mark S D, Webster G D. Reconstruction of penile curvature and Peyronie's disease.
In: Webster G, Kirby R, King L, et al, eds. Reconstructive Urology. Cambridge, MA:
Blackwell Scientific Publications; 1993: 989
- 5 McAninch J W. Injuries to the genitourinary tract. In: Tanagho E A, McAninch J W,
eds. Smith's General Urology. 16th ed. New York, NY: Lange Medical Books/McGraw-Hill;
2004: 307-310
- 6 Webster G D, Khoury J M. Management of acute urethral trauma. In: Webster G, Kirby R,
King L, et al, eds. Reconstructive Urology. Cambridge, MA: Blackwell Scientific Publications;
1993: 645-646
- 7 Jordan G H, Schlossberg S M. Surgery of the penis and urethra. In: Wein A J, Kavoussi L R,
Novick A C, et al, eds. Campbell-Walsh Urology. Philadelphia, PA: Saunders Elsevier;
2007: 1023-1097
- 8 Heyns C F, Theron P D. Fournier's gangrene. In:, Hohenfellner M, Santucci R A, eds.
Emergencies in Urology. New York, NY: Springer-Verlag; 2007: 50-53
- 9 Rosenstein D I, Morrey A F, McAninch J W. Penile trauma. In: Graham S D, Keane T E,
Glenn J F, et al, eds. Glenn's Urology. Philadelphia, PA: Lippincott Williams & Wilkins;
2010: 514-516
- 10 Castanheira A CC, McAninch J W. Reconstruction for penile trauma. In: Webster G,
Kirby R, King L, et al, eds. Reconstructive Urology. Cambridge, MA: Blackwell Scientific
Publications; 1993: 967-968
- 11
Shirong L, Xuan Z, Zhengxiang W, Dongli F, Julong W, Dongyun Y.
Modified penis lengthening surgery: review of 52 cases.
Plast Reconstr Surg.
2000;
105
(2)
596-599
- 12
Greenberger M L, Lowe B A.
Penile stump advancement as an alternative to perineal urethrostomy after penile amputation.
J Urol.
1999;
161
(3)
893-894
- 13
Yang C C, Bradley W E.
Neuroanatomy of the penile portion of the human dorsal nerve of the penis.
Br J Urol.
1998;
82
(1)
109-113
- 14
Eldh J.
Construction of a neovagina with preservation of the glans penis as a clitoris in
male transsexuals.
Plast Reconstr Surg.
1993;
91
(5)
895-900
discussion 901-903
- 15
Baskin L S.
Fetal genital anatomy reconstructive implications.
J Urol.
1999;
162
(2)
527-529
- 16
Akman Y, Liu W, Li Y W, Baskin L S.
Penile anatomy under the pubic arch: reconstructive implications.
J Urol.
2001;
166
(1)
225-230
- 17
Baskin L S, Erol A, Li Y W, Liu W H.
Anatomy of the neurovascular bundle: is safe mobilization possible?.
J Urol.
2000;
164
(3 Pt 2)
977-980
- 18
Erol A, Baskin L S, Li Y W, Liu W H.
Anatomical studies of the urethral plate: why preservation of the urethral plate is
important in hypospadias repair.
BJU Int.
2000;
85
(6)
728-734
- 19
Armenakas N A, McAninch J W, Lue T F, Dixon C M, Hricak H.
Posttraumatic impotence: magnetic resonance imaging and duplex ultrasound in diagnosis
and management.
J Urol.
1993;
149
(5 Pt 2)
1272-1275
- 20
Payne C E, Williams A M, Hart N B.
Lotus petal flaps for scrotal reconstruction combined with Integra resurfacing of
the penis and anterior abdominal wall following necrotising fasciitis.
J Plast Reconstr Aesthet Surg.
2009;
62
(3)
393-397
- 21
Grossman J AI, Caldamone A, Khouri R, Kenna D M.
Cutaneous blood supply of the penis.
Plast Reconstr Surg.
1989;
83
(2)
213-216
- 22
Giraldo F, Mora M J, Solano A, González C, Smith-Fernández V.
Male perineogenital anatomy and clinical applications in genital reconstructions and
male-to-female sex reassignment surgery.
Plast Reconstr Surg.
2002;
109
(4)
1301-1310
- 23 Tanagho E A. Anatomy of the genitourinary tract. In: Tanagho E A, McAninch J W,
eds. Smith's General Urology. 16th ed. New York, NY: Lange Medical Books/McGraw-Hill;
2004: 13-15
- 24
Martínez-Piñeiro L, Julve E, Martínez-Piñeiro J A.
Topographical anatomy of the penile arteries.
Br J Urol.
1997;
80
(3)
463-467
- 25 Hendry W F. Testicular obstruction: causes, evaluation, and results of surgery.
In: Webster G, Kirby R, King L, et al, eds. Reconstructive Urology. Cambridge, MA:
Blackwell Scientific Publications; 1993: 1032-1033
- 26
Redman J F.
Applied anatomy of the cremasteric muscle and fascia.
J Urol.
1996;
156
(4)
1337-1340
- 27 Richie J P, Steele G S. Neoplasms of the testis. In: Wein A J, Kavoussi L R, Novick A C,
et al, eds. Campbell-Walsh Urology. Philadelphia, PA: Saunders Elsevier; 2007: 893-935
- 28
Isken T, Onyedi M, Sen C, Izmirli H, Yucel E.
A novel application for repair of skin defects of the penis: anterior scrotal artery
flap.
Plast Reconstr Surg.
2009;
124
(1)
181e-182e
- 29
van Noort D E, Nicolai J PA.
Comparison of two methods of vagina construction in transsexuals.
Plast Reconstr Surg.
1993;
91
(7)
1308-1315
- 30
Huang T T.
Twenty years of experience in managing gender dysphoric patients: I. Surgical management
of male transsexuals.
Plast Reconstr Surg.
1995;
96
(4)
921-930
discussion 931-934
- 31
Knol A CA, Hage J J.
The infragluteal skin flap: a new option for reconstruction in the perineogenital
area.
Plast Reconstr Surg.
1997;
99
(7)
1954-1959
- 32
Karim R B, Hage J J, Bouman F G, de Ruyter R, van Kesteren P J.
Refinements of pre-, intra-, and postoperative care to prevent complications of vaginoplasty
in male transsexuals.
Ann Plast Surg.
1995;
35
(3)
279-284
- 33
Gil-Vernet J, Arango O, Gil-Vernet A, Gil-Vernet Jr J, Gelabert-Mas A.
A new biaxial epilated scrotal flap for reconstructive urethral surgery.
J Urol.
1997;
158
(2)
412-420
- 34
Zhao Y Q, Zhang J, Yu M S, Long D C.
Functional restoration of penis with partial defect by scrotal skin flap.
J Urol.
2009;
182
(5)
2358-2361
- 35
Edgerton M T, Bull J.
Surgical construction of the vagina and labia in male transsexuals.
Plast Reconstr Surg.
1970;
46
(6)
529-539
- 36 Gomez R G, McAninch J W. Scrotal reconstruction using flaps and grafts. In: Webster G,
Kirby R, King L, et al, eds. Reconstructive Urology. Cambridge, MA: Blackwell Scientific
Publications; 1993: 1061
Deborah J LightnerM.D.
Department of Urology, Mayo Clinic Rochester
200 First Street SW, Rochester, MN 55905
Email: lightner.deborah@mayo.edu
