 Burou was acknowledged for his “results that are cosmetically excellent.”

According to Burou, the operation began with an incision from the anal area through the scrotal raphe.After dissecting of the bulbus urethrae and both corpora cavernosa, the rectum and the prostate were separated by cutting all the ligaments between the bulb and the rectum.Burou made a point of barring, but not damaging, the posterior aspect of the prostate so that the penile skin flap after invagination would immediately overlie this aspect, which he felt optimized the possibility of postoperative orgasm.