Resurfacing and Reconstruction of the Glans Penis

Enzo Palminteri, Elisa Berdondini, Massimo Lazzeri, Francesco Mirri, Guido Barbagli

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To describe the techniques and results of surgical reconstruction of glans penis lesions. Methods: Seventeen patients (mean age: 53.2 yr) were treated by resurfacing or reconstruction of the glans penis for benign, premalignant and malignant penile lesions. The aetiology of the lesions was one Zoon's balanitis, four lichen sclerosus, one carcinoma in situ, five squamous cell carcinomas, and six squamous cell carcinomas associated with lichen sclerosus. Five cases were treated by glans skinning and resurfacing; five cases by glans amputation and reconstruction of the neoglans, and seven cases by partial penile amputation and reconstruction of the neoglans. Glans resurfacing and reconstruction were performed with the use of a skin graft harvested from the thigh. Results: The mean follow-up was 32 mo. All patients were free of local premalignant/malignant recurrence. Patients who underwent glans resurfacing reported glandular sensory restoration and complete sexual ability. Patients who underwent glansectomy or partial penectomy with neoglans reconstruction maintained sexual function and activity, although sensitivity was reduced as a consequence of glans/penile amputation. Conclusions: In selected cases of benign, premalignant or malignant penile lesions, glans resurfacing or reconstruction can ensure a normal appearing and functional penis, without jeopardizing cancer control.

Original languageEnglish
Pages (from-to)893-900
Number of pages8
JournalEuropean Urology
Volume52
Issue number3
DOIs
Publication statusPublished - Sep 2007

Keywords

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

ASJC Scopus subject areas

  • Urology

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