Perineal-Urethrostomy...
 

PERINEAL URETHROSTOMY

Perineal Urethrostomy , is a surgical procedure, where the urethra is diverted to the perineum, the area between the scrotum and anus.

When a radial penectomy is necessary and the bladder is intact, a perineal urethrostomy is the usual recourse to direct the urethra. Urination for a man with a perineal urethrostomy would be in a sitting position. If prostrate is still intact, ejaculation of semen would be through the urethra through the perineal urethrostomy.

Images of a perineal urethrostomy.

perineal urethrostomy opening  

perenium now has a fold where urethrostomy 
                    is placed

     view with scrotum held up
perineal urethrostomy opening
        
perenium now has a fold where urethrostomy is placed
        
view with scrotum held up


In chatting with a gentleman from the states, he told me that as part of the penectomy & urethrostomy procedure in the US, they include a scrotal elevation. A procedure where the elevate the scrotum so to clear the area of the new urethral opening. Below are some graphics I was given to help show what a "Scrotal Elevation" looks like. The procedure sounds to be very beneficial and I would suggest that anyone having to have a perineal urethrostomy should discuss it with their surgeon.

Scrotal Elevation       Scrotal Elevation procedure
 


Curtis fav quote on a sunset picture he had taken