Reconstructive surgery of the penis

Ralph, David; Garaffa, Giulio; García, Miguel Ángel Bonillo

doi:10.1097/01.mou.0000250278.44990.4f

Cited by 16 publications

(15 citation statements)

References 25 publications

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“…The main types of penile preserving surgery that are currently in widespread use are partial or total glans resurfacing or glansectomy followed by skin grafting [8]. Other surgical techniques such as Mohs micrographic surgery (MMS), which involves removing the cancer by excising thin layers of tissue and examining them microscopically, have been described.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Glansectomy and Skin Grafting in the Management of Penile Cancer

O'Kane

Pahuja

et al. 2011

Advances in Urology

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Purpose. To report outcome data for patients with penile cancer treated surgically with glansectomy and skin grafting. Materials and Methods. We retrospectively reviewed data on all patients undergoing surgical management of penile cancer by a single surgeon between 1998 and 2008. Outcomes in patients who underwent glansectomy and skin grafting were analysed. Results. Between 1998 and 2008 a total of 25 patients with a mean age 60 (39–83) underwent glansectomy and skin grafting. Six patients had carcinoma in situ (CIS); the stage in the remaining patients ranged from T1G1 to T3G3. Mean followup for patients was 28 months (range 6–66). Disease specific survival was 92% with 2 patients who had positive nodes at lymph node dissection developing groin recurrence. One patient developed a local recurrence requiring a partial penectomy. Conclusions. Penile preserving surgery with glansectomy and skin grafting is a successful technique with minimal complications for local control of penile carcinoma arising on the glans. Careful followup to exclude local recurrence is required.

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Section: Discussionmentioning

confidence: 99%

Outcome of Glansectomy and Skin Grafting in the Management of Penile Cancer

O'Kane

Pahuja

et al. 2011

Advances in Urology

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“…Cuando el defecto es mayor y se precisa glandectomía total o la exéresis completa superficial del resto de mucosa patológica, se han propuesto varios métodos de reconstrucción. El que presentamos en esta casuística se emplea en centros de referencia con excelentes resultados [7][8][9] . El injerto libre de piel puede prender tanto sobre el glande denudado después de mucosectomía, con o sin glandectomía parcial, como después de glandectomía total sobre el extremo distal de los cuerpos cavernosos, con o sin corporectomía parcial.…”

Section: Discussionunclassified

Reconstrucción del glande con injerto cutáneo libre según técnica de Bracka

Gómez-Ferrer¹,

Rubio-Briones

Collado

et al. 2011

Actas Urol Esp

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Recibido el 13 de abril de 2010; aceptado el 18 de septiembre de 2010 PALABRAS CLAVECáncer de pene; Injerto libre piel; Cirugía reconstructiva Resumen Introducción: Analizamos nuestra experiencia en el manejo conservador y reconstructivo de los pacientes tratados de cáncer de pene y/o patologías cutáneas del pene en nuestra institución. Material y métodos: Hemos revisado retrospectivamente todos los procedimientos de injerto cutáneo realizados en la cirugía peneana a lo largo de los últimos 8 años. Se presentan las indicaciones y resultados de estas cirugías y el procedimiento quirúrgico detallado descrito originalmente por Bracka. Resultados: Diez pacientes fueron sometidos a extirpación parcial del pene seguida de técnica quirúrgica reconstructiva con injerto libre de piel creando un neoglande. No se han registrado casos de complicaciones mayores; dos pacientes tuvieron pérdida parcial del injerto y ninguno ha presentado recidiva local. Seis pacientes comunicaron haber reanudado su actividad sexual después de la curación completa. Conclusión: Existe un grupo importante de pacientes con cáncer de pene y/o otras patologías en el glande donde es posible realizar una cirugía reconstructiva peneana no mutilante con resultados oncológicos, estéticos y funcionales satisfactorios. © 2010 AEU. Publicado por Elsevier España, S.L. Todos los derechos reservados. KEYWORDSPenile neoplasm; Free-skin graft; Reconstructive surgery Reconstruction of the Glans With Free-Skin Graft Applying the Bracka Technique AbstractIntroduction: We analyse our experience in the conservative surgical management of penile cancer and/or penile skin pathologies at our institution. Material and methods:We have retrospectively reviewed all the skin grafting procedures performed in penile surgery in the last eight years. We show the indications and results of these surgical procedures and the detailed surgical technique originally described by Bracka. * Autor para correspondencia.Correo electrónico: dr.alvaro@gomez-ferrer.net (Á. Gómez-Ferrer).

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“…Circumcision alone may suffice for small lesions of the prepuce, but high recurrence rates of up to 50% have been reported (Ralph et al , 2006).…”

Section: Surgical Managementmentioning

confidence: 99%