What is Penoscrotal Webbing
Congenital webbed penis is a disease of penile and scrotal hypoplasia, which can cause poor appearance, pseudo-small penis, and penile curvature, and in severe cases it may inhibit penetration. As a result, the disease could lead to psychological tension and physical problems.
Webbed penis is a deformity where the scrotal skin extends onto the ventral penile skin. This disorder can be congenital or acquired. The latter is more common and mainly iatrogenic, caused for example by overly aggressive removal of skin from the underside of the penis during circumcision. This deformity can cause chordee, discomfort during intercourse, difficulty in wearing a condom, and psychological tension brought about by cosmetic deformity, which can therefore create a need for surgery We know that the pathological anatomy of a webbed penis is the adhesion of full-thickness scrotal skin to ventral penile skin.
The aim of treatment is to free the glans penis (if necessary), match the penile skin to penis length surgically, and restore a normal penis-scrotum angle. Using the technique here described we have corrected all forms of webbed penis.
Procedure
The penis is held gently nearly at a right angle to the abdominal wall. A longitudinal incision is made along the ventral-median raphe from the bump on the penis to the scrotal skin at the level of the upper edge of the pubic symphysis. The skin, subcutaneous tissue, and superficial fascia of the penis are cut in turn. The scrotum thecae, attached to the deep fascia of the penis, are located. The thecae are cut from the urethral spongiosum and the ventral part of the penile spongiosum so that they can be separated down to the root of penis. The thecae are then separated from the skin and pushed down to the scrotum. The scrotum skin is trimmed enough to allow extension of the penis skin, and the incision is sewn up. All patients achieve immediate cosmetic results after surgery, without severe complications.
Prof. Alessandro Littara was born in Pisa on 15 April 1964. He is an authority in male genital aesthetic surgery thanks to his pioneering work in penoplasty, a technique he has performed since the 90’s and which he has continuously modified, improved and perfected during his personal experience with thousands of cases from all around the world.
Training (1991) at the Centre for Andrology of the University of Pisa (directed by Professor G.F. Menchini Fabris), where he currently works as an external collaborator. He also specialized as an Andrology module operator and in Medical Sexology, at the same centre.
Long collaboration with the Istituto di Chirurgia Generale II - Unità Operativa di Endocrinochirurgia (directed by Prof. P. Miccoli), of the Università degli Studi di Pisa, with respect to surgical practice.
Student of Uro-andrological surgery as taught by Prof. E. Belgrano (director of the Urology clinic of the University of Trieste) and Prof. F. Carmignani (director of the Urology clinic of the University of Genoa) for more than five years, staying up-to-date with Avant-guard Uro-andrological and gynaecological urology surgical techniques.
Adjournment at the Istituto San Raffaele of Milan in the Urology department directed by Prof. Rigatti.
Head of the medical and surgical Andrology-sexology branch at the Casa di Cura "Mercurio-Quisisana" of Montecatini Terme (PT), where he participated in about 1000 andrological surgery, Uro-gyneacological and general surgery operations in the capacity of first operator and also as assistant.
Participation as a student at the "European School of Andrology and Andrological Surgery ", organised by the Italian Andrological Society in European centres of renowned excellence.
Practices as a freelance professional in the field inherent to the medical and surgical diagnosis and therapy of pathologies of Uro-andrological, uro-gyneacological and sexological nature.
Numerous appearances as a speaker at many congresses of Uro-andrological and plastic-cosmetic nature. Strong supporter of computerization, and author of the first Italian website dedicated to andrology (website of the Andrology Centre of Pisa) and since 1996 has been furnishing an information service for the public through his own website (www.androweb.it).
Radio 24 collaborator with regards to medical and surgical andrology and sexology. He collaborates with national newspapers, weeklys and monthlies with wide distribution and also with national and regional television programmes. He conceived and conducted a radio transmission dealing with sexology (SessoOS) at a local Tuscan radio station for two years. He participates as a subject matter expert in the transmission "Istruzioni per l'uso" presented by Emanuela Falcetti on Radio 1 and Radio 3.
Founder and head of the "Centro di Medicina Sessuale" of Milan, where all pathologies of the sexual and reproductive sphere for both males and females are treated. He manages a multi-disciplinary team made up of andrologists, gynaecologists, assisted reproduction specialists, psycho-sexologists, psychiatrists, plastic-cosmetic surgeons and lawyers.
Training and certification to perform procedures of female genital laser surgery at the Laser Vaginal Rejuvenation Centre of Beverly Hills, directed by Dr. David Matlock. Surgeon affiliated with and certified to perform DLV (Designer Laser Vaginoplasty), LVR (Laser Vaginal Rejuvenation) and G-Spot Amplification procedures, by the said centre.
He currently works as a freelance professional and consults in Milan, the main seat, and periodically in Rome. He collaborates with centres specialising in Infertility therapy for couples, and is a contract Professor of Uro-genital Reconstructive surgery at the University of Pisa.
