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Distal Urethral Reconstruction of the Glans for Penile Carcinoma: Results of a Novel Technique at 1-Year of Followup

2007; Lippincott Williams & Wilkins; Volume: 178; Issue: 3 Linguagem: Inglês

10.1016/j.juro.2007.05.059

1527-3792

Gaetano Gulino, F. Sasso, Roberto Falabella, Pierfrancesco Bassi,

Urologic and reproductive health conditions

No AccessJournal of UrologyAdult urology1 Sep 2007Distal Urethral Reconstruction of the Glans for Penile Carcinoma: Results of a Novel Technique at 1-Year of Followup G. Gulino, F. Sasso, R. Falabella, and P.F. Bassi G. GulinoG. Gulino More articles by this author , F. SassoF. Sasso More articles by this author , R. FalabellaR. Falabella More articles by this author , and P.F. BassiP.F. Bassi More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2007.05.059AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: No satisfactory techniques are available to replace the anatomy and function of the penile glans after radical surgery for penile carcinoma. We report a new technique of glans reconstruction using distal urethra. We evaluated anatomical, physiological and esthetic features as well as short-term and long-term clinical outcomes. Materials and Methods: A total of 14 patients with a mean age of 54 who had squamous penile carcinoma underwent glans reconstruction after simple glansectomy in 8 and after amputation of the distal third of the shaft in 6. Glans sensibility, erectile function, ejaculation, orgasm, penile length, local recurrence, patient and partner satisfaction, and quality of life were evaluated before and after the operation. Mean followup was 13 months. Results: All patients noticed subjective and objective thermal and tactile epicritic sensibility in the area of the neoglans. Ten of 14 patients (71%) noticed spontaneous and/or induced rigid erections. Interestingly International Index of Erectile Function scores in the ejaculation and orgasm domains did not significantly change in the period before and after surgery. No local disease recurrence or penile retraction were reported at long-term followup. Conclusions: Reconstructive glanuloplasty with distal urethra in penile tumor surgery is an innovative, easy and rapid surgical technique with appreciable functional and esthetical results. References 1 : Up-to-date management of carcinoma of the penis. Eur Urol1997; 32: 5. Google Scholar 2 : Genital treatment of penile carcinoma. Curr Opin Urol2001; 11: 299. Google Scholar 3 : Treatment of penile carcinoma: A short review. Urol Int1999; 62: 229. Google Scholar 4 : Comparison of the quality of life of patients treated by surgery or radiotherapy in epidermoid cancer of the penis. Progr Urol1999; 9: 715. Google Scholar 5 : Quality of life after penectomy for penile carcinoma. Urology1998; 50: 593. Google Scholar 6 : Sexuality in patients treated for penile cancer: patients’ experience and doctors’ judgement. Br J Urol1994; 73: 554. Google Scholar 7 : EAU Guidelines on Penile Cancer. Eur Urol2004; 46: 1. 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Google Scholar Department of Urology, Catholic University Medical School, Rome, Italy© 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byKamel M, Bissada N, Warford R, Farias J and Davis R (2018) Organ Sparing Surgery for Penile Cancer: A Systematic ReviewJournal of Urology, VOL. 198, NO. 4, (770-779), Online publication date: 1-Oct-2017. Volume 178Issue 3September 2007Page: 941-944 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordspenisreconstructive surgical proceduresurethracarcinomapenile neoplasmsMetricsAuthor Information G. Gulino More articles by this author F. Sasso More articles by this author R. Falabella More articles by this author P.F. Bassi More articles by this author Expand All Advertisement PDF downloadLoading ...