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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

Partial penectomy and neo-glans reconstruction: SCC involving the glans and penile shaft (A). Foreskin degloving and partial penectomy (B). The lateral edges of the residual corpora cavernosa are sutured together to create a hemispheric dome-shaped stump (C,D). The urethra is spatulated and the meatus is fixed on the new tip of the corpora cavernosa (E). The STSG is transplanted over the summit of the hemispheric stump (F). Penile appearance 6 months after surgery (G).
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f0020: Partial penectomy and neo-glans reconstruction: SCC involving the glans and penile shaft (A). Foreskin degloving and partial penectomy (B). The lateral edges of the residual corpora cavernosa are sutured together to create a hemispheric dome-shaped stump (C,D). The urethra is spatulated and the meatus is fixed on the new tip of the corpora cavernosa (E). The STSG is transplanted over the summit of the hemispheric stump (F). Penile appearance 6 months after surgery (G).

Mentions: The partial penectomy is performed with resection margins of only few millimetres, according to the current techniques [10]. The lateral edges of the residual corpora cavernosa are sutured together to create a hemispheric dome-shaped stump. The urethra is then spatulated and the meatus is fixed on the new tip of the corpora cavernosa. The STSG is transplanted like an umbrella over the summit of the hemispheric stump, where it is quilted. The graft is eventually fixed to the penile skin with the aim to recreate a glandular neo-sulcus (Fig. 4). This procedure is suitable for malignant lesions which appear to involve the penile shaft.


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)

Partial penectomy and neo-glans reconstruction: SCC involving the glans and penile shaft (A). Foreskin degloving and partial penectomy (B). The lateral edges of the residual corpora cavernosa are sutured together to create a hemispheric dome-shaped stump (C,D). The urethra is spatulated and the meatus is fixed on the new tip of the corpora cavernosa (E). The STSG is transplanted over the summit of the hemispheric stump (F). Penile appearance 6 months after surgery (G).
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

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

f0020: Partial penectomy and neo-glans reconstruction: SCC involving the glans and penile shaft (A). Foreskin degloving and partial penectomy (B). The lateral edges of the residual corpora cavernosa are sutured together to create a hemispheric dome-shaped stump (C,D). The urethra is spatulated and the meatus is fixed on the new tip of the corpora cavernosa (E). The STSG is transplanted over the summit of the hemispheric stump (F). Penile appearance 6 months after surgery (G).
Mentions: The partial penectomy is performed with resection margins of only few millimetres, according to the current techniques [10]. The lateral edges of the residual corpora cavernosa are sutured together to create a hemispheric dome-shaped stump. The urethra is then spatulated and the meatus is fixed on the new tip of the corpora cavernosa. The STSG is transplanted like an umbrella over the summit of the hemispheric stump, where it is quilted. The graft is eventually fixed to the penile skin with the aim to recreate a glandular neo-sulcus (Fig. 4). This procedure is suitable for malignant lesions which appear to involve the penile shaft.

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