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Aesthetic neo-glans reconstruction after penis-sparing surgery for benign, premalignant or malignant penile lesions.

Palminteri E, Fusco F, Berdondini E, Salonia A - Arab J Urol (2011)

Bottom Line: The mean follow-up was 45 months; all patients were free of primary local disease.All patients were satisfied with the appearance of the penis after surgery, and recovered their sexual ability, although sensitivity was reduced as a consequence of glans/penile amputation.In benign, premalignant or malignant penile lesions, penis-sparing surgery combined with a cosmetic neo-glans reconstruction can be used to assure a normally appearing and functional penis, while fully eradicating the primary local disease.

View Article: PubMed Central - PubMed

Affiliation: Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy.

ABSTRACT

Purpose: To describe the technique and results of penis-sparing surgery combined with a cosmetic neo-glans reconstruction for benign, pre-malignant or malignant penile lesions.

Patients and methods: Twenty-one patients (mean age 61 years) with penile lesions with a broad spectrum of histopathology underwent organ-sparing surgery with neo-glans reconstruction, using a free split-thickness skin graft harvested from the thigh. Three patients were treated by glans-skinning and glans-resurfacing, 10 by glansectomy and neo-glans reconstruction, four by partial penectomy and a neo-glans reconstruction, and four by neo-glans reconstruction after a traditional partial penectomy.

Results: The mean follow-up was 45 months; all patients were free of primary local disease. All patients were satisfied with the appearance of the penis after surgery, and recovered their sexual ability, although sensitivity was reduced as a consequence of glans/penile amputation.

Conclusion: In benign, premalignant or malignant penile lesions, penis-sparing surgery combined with a cosmetic neo-glans reconstruction can be used to assure a normally appearing and functional penis, while fully eradicating the primary local disease.

No MeSH data available.


Related in: MedlinePlus

Glansectomy and neo-glans reconstruction: SCC involving the glans penis (A). The glans is dissected from the corpora cavernosa and the urethra is distally sectioned (B). The urethral meatus is fixed to the summit of the corpora cavernosa (C). The STSG is transplanted like an umbrella over the summit of the corpora cavernosa (D). The graft is tailored and quilted using interrupted stitches over the top of the corpora. The graft is fixed to the penile skin to recreate a neo-sulcus (E). Penile appearance 6 months after surgery (F).
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f0015: Glansectomy and neo-glans reconstruction: SCC involving the glans penis (A). The glans is dissected from the corpora cavernosa and the urethra is distally sectioned (B). The urethral meatus is fixed to the summit of the corpora cavernosa (C). The STSG is transplanted like an umbrella over the summit of the corpora cavernosa (D). The graft is tailored and quilted using interrupted stitches over the top of the corpora. The graft is fixed to the penile skin to recreate a neo-sulcus (E). Penile appearance 6 months after surgery (F).

Mentions: The penis is circumcised and the penile skin is degloved. The glans is carefully segregated from the corpora cavernosa and the urethra is then distally sectioned. After removing the glans, the urethra is ventrally opened and the external urethral meatus is fixed to the tip of the corpora cavernosa. The STSG is therefore transplanted like an umbrella over the tips of the corpora cavernosa. The graft is tailored and quilted using interrupted stitches over the top of the corpora. Finally, the graft is fixed to the penile skin to recreate a neo-sulcus (Fig. 3). This procedure is usually suitable for malignant lesions which appear to infiltrate the glans.


Aesthetic neo-glans reconstruction after penis-sparing surgery for benign, premalignant or malignant penile lesions.

Palminteri E, Fusco F, Berdondini E, Salonia A - Arab J Urol (2011)

Glansectomy and neo-glans reconstruction: SCC involving the glans penis (A). The glans is dissected from the corpora cavernosa and the urethra is distally sectioned (B). The urethral meatus is fixed to the summit of the corpora cavernosa (C). The STSG is transplanted like an umbrella over the summit of the corpora cavernosa (D). The graft is tailored and quilted using interrupted stitches over the top of the corpora. The graft is fixed to the penile skin to recreate a neo-sulcus (E). Penile appearance 6 months after surgery (F).
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150571&req=5

f0015: Glansectomy and neo-glans reconstruction: SCC involving the glans penis (A). The glans is dissected from the corpora cavernosa and the urethra is distally sectioned (B). The urethral meatus is fixed to the summit of the corpora cavernosa (C). The STSG is transplanted like an umbrella over the summit of the corpora cavernosa (D). The graft is tailored and quilted using interrupted stitches over the top of the corpora. The graft is fixed to the penile skin to recreate a neo-sulcus (E). Penile appearance 6 months after surgery (F).
Mentions: The penis is circumcised and the penile skin is degloved. The glans is carefully segregated from the corpora cavernosa and the urethra is then distally sectioned. After removing the glans, the urethra is ventrally opened and the external urethral meatus is fixed to the tip of the corpora cavernosa. The STSG is therefore transplanted like an umbrella over the tips of the corpora cavernosa. The graft is tailored and quilted using interrupted stitches over the top of the corpora. Finally, the graft is fixed to the penile skin to recreate a neo-sulcus (Fig. 3). This procedure is usually suitable for malignant lesions which appear to infiltrate the glans.

Bottom Line: The mean follow-up was 45 months; all patients were free of primary local disease.All patients were satisfied with the appearance of the penis after surgery, and recovered their sexual ability, although sensitivity was reduced as a consequence of glans/penile amputation.In benign, premalignant or malignant penile lesions, penis-sparing surgery combined with a cosmetic neo-glans reconstruction can be used to assure a normally appearing and functional penis, while fully eradicating the primary local disease.

View Article: PubMed Central - PubMed

Affiliation: Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy.

ABSTRACT

Purpose: To describe the technique and results of penis-sparing surgery combined with a cosmetic neo-glans reconstruction for benign, pre-malignant or malignant penile lesions.

Patients and methods: Twenty-one patients (mean age 61 years) with penile lesions with a broad spectrum of histopathology underwent organ-sparing surgery with neo-glans reconstruction, using a free split-thickness skin graft harvested from the thigh. Three patients were treated by glans-skinning and glans-resurfacing, 10 by glansectomy and neo-glans reconstruction, four by partial penectomy and a neo-glans reconstruction, and four by neo-glans reconstruction after a traditional partial penectomy.

Results: The mean follow-up was 45 months; all patients were free of primary local disease. All patients were satisfied with the appearance of the penis after surgery, and recovered their sexual ability, although sensitivity was reduced as a consequence of glans/penile amputation.

Conclusion: In benign, premalignant or malignant penile lesions, penis-sparing surgery combined with a cosmetic neo-glans reconstruction can be used to assure a normally appearing and functional penis, while fully eradicating the primary local disease.

No MeSH data available.


Related in: MedlinePlus