What is it about?
This article details a specialized surgical technique for repairing severe injuries to the glans penis (the head). The Problem: Trauma to the glans (from accidents, botched circumcisions, or other surgeries) causes severe deformity. Standard repairs often just try to close the skin, resulting in a misshapen, functionally compromised outcome. The Innovation: This technique is based on Dr. Hsu’s discovery of the "distal ligament"—an internal fibrous anchor inside the glans. The Solution: Instead of just fixing the surface, this surgery reconstructs the internal ligamentous structure. By reconnecting these deep anchors, the surgeon restores the natural shape, stability, and structural integrity of the glans from the inside out.
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Why is it important?
Cosmetic and Functional Restoration: A deformed glans can be psychologically devastating and functionally debilitating for a patient. This approach aims for a result that looks and functions normally. Proof of Anatomy's Value: It proves that the discovery of the "distal ligament" wasn't just academic trivia; it is essential knowledge for solving real-world surgical problems. A Higher Standard of Care: It argues that reconstructive surgery must go beyond "closing the hole." It must aim to rebuild the original internal architecture of the organ.
Perspectives
The Surgeon's View (Dr. Hsu): You cannot build a stable house on a broken foundation. Trying to fix a glans deformity without repairing the internal ligaments is doomed to mediocrity. True reconstruction requires deep anatomical repair. The Patient's View: After a traumatic injury, they often feel hopeless about ever looking "normal" again. This surgery offers a path back to wholeness by addressing the root cause of the deformity.
Professor Geng-Long Hsu
Microsurgical Potency Reconstruction and Research Center, Hsu’s Andrology
Read the Original
This page is a summary of: TRAUMATIC GLANS DEFORMITY: RECONSTRUCTION OF DISTAL LIGAMENTOUS STRUCTURE, The Journal of Urology, October 2001, Wolters Kluwer Health,
DOI: 10.1016/s0022-5347(05)65781-3.
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