27. 1.Distal penile epispadias 2. Wide diastasis of the pubic bone and external displacement of the hips in epispadias. 3. Distal epispadias. Outlining of local flaps from the glans to reconstruct the distal urethra. 4.Vertical island flap drawn on the ventral aspect of the penis 5. Island flap transferred dorsally and anastomosed to the urethra. 6. Island flap sutured into a tube to reconstruct the missing portion of the urethra 7. Urethral reconstruction is completed 8. Drawing of the final appearance at the end of the operation. 9. Final Apperance
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53. Loss of mobility adenoncarcinoma Normal semen-secreting prostate gland cells mutate into cancer develop in peripheral zones of the prostate gland Begin to multiply Tumor enlarges metastasis This location increases the risk of local spread to the prostatic capsule Compress urethra Lymph/venous circulation Seminal vesicle/bladder Compression fracture Obstruct the urinary flow bone Blood upon ejaculation hematuria Joint and back pain Migratory pain hematuria dysuria nocturia