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Page 6 of 11 Shaw et al. Plast Aesthet Res 2021;8:52 https://dx.doi.org/10.20517/2347-9264.2021.53
Figure 2. Artery supply and venous drainage of the penis.
Figure 3. Technique of harvest of the Orandi flap.
anastomosed to the distal ventral urethra.
Transverse circular penile skin flap with primary dorsal pedicle (McAninch flap) [32]
With the penis on stretch, a circumferential skin flap (width 2-2.5 cm based on stricture caliber) is taken
from the distal penile skin or inner prepuce [Figures 6 and 7]. First, the distal aspect of the flap should be
dissected deep to the pedicle, leaving the pedicle with the proximal skin island. Next, the entire penile shaft
should be degloved in this deep plane (superficial to bucks fascia). The proximal skin incision is then made
superficial to the pedicle, creating a circumferential skin island that can be divided dorsally or ventrally to
be rotated 90 degrees for urethral incorporation [Figures 8-10]. The flap is traditionally divided ventrally.
Additional length can be generated in this technique by modifying the circumferential incision into a Q
incision.
