Figure 1

Chasm of lower abdominal wall after penile auto-amputation before surgical treatment (A), and after surgery treatment (B). (Α) The penis is completely absent and there is a chasm in the lower abdominal wall that makes it possible to see parts of the lower pelvis and the spermatic cords, the destroyed base of the corpora cavernosa and the residual stump of the urethra. The scrotum and the testicles were stiff and possibly invaded by the cancer. In the chasm margins, we could detect hemorrhagic and necrotic areas. (Β) A bilateral cutaneous ureterostomy with Gibson incision was performed in order to protect the corroded tissues from further urine impregnation.