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

Enzo Palminteri, Fernando Fusco, Elisa Berdondini, Andrea Salonia

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)115-120
Number of pages6
JournalArab Journal of Urology
Volume9
Issue number2
DOIs
Publication statusPublished - Jun 2011

Keywords

  • Carcinoma
  • Glans reconstruction
  • Lichen sclerosus
  • Penis
  • Squamous cell

ASJC Scopus subject areas

  • Urology

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