GLANULOPLASTY WITH SCROTAL FLAP FOR PARTIAL PENECTOMY
2001; Lippincott Williams & Wilkins; Volume: 166; Issue: 3 Linguagem: Inglês
10.1016/s0022-5347(05)65857-0
ISSN1527-3792
Autores Tópico(s)Nail Diseases and Treatments
ResumoNo AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Sep 2001GLANULOPLASTY WITH SCROTAL FLAP FOR PARTIAL PENECTOMY OSVALDO N. MAZZA and GERMÁN M.J. CHELIZ OSVALDO N. MAZZAOSVALDO N. MAZZA and GERMÁN M.J. CHELIZGERMÁN M.J. CHELIZ View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65857-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Reconstructing a penile stump secondary to trauma or cancer should result in satisfactory penile function and appearance. The lack of penile skin, stump retraction in the scrotum and stenosis of the neomeatus must be resolved in these cases. Materials and Methods: A 2-stage surgical technique with a scrotal flap was used in 34 patients with a mean age of 43.2 years to reconstruct the glans. Mean followup was 73.2 months. After penectomy a scrotal flap was designed and its distal extreme was transferred to the penile stump. The urethral end was sutured to a hole in the scrotal flap and the flap borders were sutured to the adjacent albuginea. The flap pedicle was resected 4 to 6 weeks later. Results: Patient recovery was characterized by a normal-appearing penis and unobstructed urinary flow. Definite depilation of the neoglans was required in 17.6% of cases. Partial necrosis of 2 flaps (5.8%) required grafts. Sexual potency was preserved in 7 men (20.5%). In 1 case (2.9%) urethral meatal stenosis resolved with minor surgical procedures. Conclusions: This technique enables us to design a neoglans with acceptable function and appearance, no penile retraction, satisfactory voiding and in certain cases possible intercourse with vaginal penetration. References 1 : Treatment of tumors of the penis. In: Treatment of Cancer and Allied Diseases: Tumors of the Male Genitalia and the Urinary System. New York: Harper and Row1963: 15. 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Google Scholar From the Cátedra de Urología at Universidad de Buenos Aires, Hospital Alemán and Hospital Durand, Buenos Aires, Argentina© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byBelinky J, Cheliz G, Graziano C and Rey H (2010) Glanuloplasty With Urethral Flap After Partial PenectomyJournal of Urology, VOL. 185, NO. 1, (204-206), Online publication date: 1-Jan-2011.Gulino G, Sasso F, Falabella R and Bassi P (2007) Distal Urethral Reconstruction of the Glans for Penile Carcinoma: Results of a Novel Technique at 1-Year of FollowupJournal of Urology, VOL. 178, NO. 3, (941-944), Online publication date: 1-Sep-2007.McDOUGAL W (2018) PHALLIC PRESERVING SURGERY IN PATIENTS WITH INVASIVE SQUAMOUS CELL CARCINOMA OF THE PENISJournal of Urology, VOL. 174, NO. 6, (2218-2220), Online publication date: 1-Dec-2005.BISSADA N, YAKOUT H, FAHMY W, GAYED M, TOUIJER A, GREENE G and HANASH K (2018) Multi-Institutional Long-Term Experience With Conservative Surgery for Invasive Penile CarcinomaJournal of Urology, VOL. 169, NO. 2, (500-502), Online publication date: 1-Feb-2003. Volume 166Issue 3September 2001Page: 887-889 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.Keywordspenissurgical flapsreconstructive surgical proceduresMetricsAuthor Information OSVALDO N. MAZZA More articles by this author GERMÁN M.J. CHELIZ More articles by this author Expand All Advertisement PDF downloadLoading ...
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