This case comprised treatment of a patient with penile injury involving damage to the urethra. Revision of the penis, suturing defects of the tunica cavernous membrane, and primary suture of the urethra were performed. The postoperative period was complicated by necrosis of the skin of the penis, requiring repeated surgical intervention. Replacement plasty of the skin of the penis, using skin from the outer surface of the thigh, was performed with a satisfactory result.