Abstract
Figure 1A penile injection of 10–20mcg prostaglandin E1 is given with a 31-gauge 8-mm needle at the beginning of the case to provide the patient with an erection. This helps the surgeon determine how much skin needs to be removed. While the penis remains erect, the foreskin is pulled over the glans penis, and released. The skin at the base of the penile shaft is marked with a marking pen in a circumferential manner at the junction of the penis with the pubis on the dorsum and at the junction of the scrotal skin on the sides and the ventral aspect of the penile shaft.
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