Urethral flap glanuloplasty after partial penectomy for penile carcinoma: Evaluation of urinary, sexual and quality of life outcomes

Suarez-Ibarrola, Rodrigo; Heinze, Alexander; Cruz-Nuricumbo, Eduardo; Miernik, Arkadiusz

doi:10.1016/j.eucr.2018.12.011

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…Furthermore, skin flap grafts such as medial thigh, inguinal, and lower abdominal flaps are often utilized in repairing penile skin defects to better maintain skin elasticity, sensation, and color. 9 , 10 , 17 However, these flaps, when wrapped circumferentially around the penis, are large and can interfere with the patient’s sexual life. 18 Xie et al 19 suggested that scrotal skin and penile skin share similar thicknesses; both lack a fat layer, and scrotal skin has less hair growth, suggesting that it is more akin to the original penile skin in appearance and color.…”

Section: Discussionmentioning

confidence: 99%

“… 5-8 Notably, existing reports lack specific guidance on covering necrotic flaps of penile skin. 9 Generally, many physicians utilize axial flaps, such as the lower abdominal, inguinal, inner thigh, and scrotal flaps, to address penile skin necrosis or defects. 9 , 10 Additionally, skin grafting and superficial circumflex iliac artery perforator flap grafting have also been used to treat this condition.…”

Section: Introductionmentioning

confidence: 99%

“… 9 Generally, many physicians utilize axial flaps, such as the lower abdominal, inguinal, inner thigh, and scrotal flaps, to address penile skin necrosis or defects. 9 , 10 Additionally, skin grafting and superficial circumflex iliac artery perforator flap grafting have also been used to treat this condition. 11-13 However, the distinct skin characteristics of some donor sites may lead to unsatisfactory graft results.…”

Section: Introductionmentioning

confidence: 99%

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Two laterally based scrotal pedicled flap grafts in the treatment of penile skin necrosis due to ring incarceration: a case series

Xie

2024

Sexual Medicine

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Introduction The rise in the incidence of penile ring incarceration has led to additional cases of ischemic necrosis of the penile skin. Two laterally based scrotal pedicled flaps (LSPFs), noted for their rich blood flow and skin source, resemble penile skin and are the preferred donor sites for repairing such necrosis. Aims This study summarizes the outcomes of 2 LSPF grafts for the treatment of penile skin necrosis. Methods Data were collected from 5 patients with penile skin necrosis due to ring incarceration who sought treatment at Ankang Central Hospital between 2012 and 2023. Results All patients exhibited varying degrees of necrosis in the urethral corpus cavernosum and the penis’s anterior tip. Two LSPFs were used for wound repair, with direct suturing of the donor site. None of the 5 patients experienced flap necrosis postsurgery, and they regained normal urination function. The patients reported satisfaction with both the aesthetic and functional results. Conclusion Two LSPF grafts are an effective approach for repairing penile skin defects. They reliably cover necrotic penile skin defects, prevent further wound progression, preserve penile structure, and improve patients’ life quality.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Two laterally based scrotal pedicled flap grafts in the treatment of penile skin necrosis due to ring incarceration: a case series

Xie

2024

Sexual Medicine

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Inverted urethral flap reconstruction after partial penectomy: Long-term oncological and functional outcomes

Chavarriaga

Becerra

Camacho

et al. 2022

Urologic Oncology: Seminars and Original Investigations

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Effects of partial penectomy for penile cancer on sexual function: A systematic review

et al. 2022

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Penile cancer is a rare but debilitating condition, which often requires aggressive treatment. Partial penectomy is considered as a treatment option when a sufficient portion of the penile shaft can be maintained to preserve functionality. This systematic review, which followed the PRIMSA guidelines, aimed to evaluate the effects of partial penectomy for penile cancer on sexual function—the maintenance of which is often a priority in patient groups—and to identify potential factors which may moderate these effects. A systematic search of PubMed, The Cochrane Library, and Open Grey as well as MEDLINE, CINAHL and Open Dissertations via EBSCOhost was conducted from inception through to 24th March, 2022. Studies were required to include adults aged ≥18 years who had undergone partial penectomy for the treatment of penile cancer, with a quantitative measure of sexual function available pre- and post-surgery. Four eligible articles were identified for inclusion in this review, three of which reported a decrease in sexual function pre- to post-surgery across all domains of the International Index of Erectile Function (IIEF) questionnaire (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction). Conversely, one study reported an increase in sexual function across IIEF domains, except for orgasmic function, which decreased, pre- to post-surgery. Greater penile length was associated with higher post-operative sexual function, whilst increasing age and higher anxiety levels were associated with lower post-operative sexual function levels in one study. Despite the overall drop in sexual function, many patients were still able to maintain satisfactory sex lives following partial penectomy. Given the limited research in this area and small sample sizes across studies, additional well-controlled investigations are warranted to provide further evidence on the effects of partial penectomy for penile cancer on sexual function.

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Urethral flap glanuloplasty after partial penectomy for penile carcinoma: Evaluation of urinary, sexual and quality of life outcomes

Cited by 3 publications

References 3 publications

Two laterally based scrotal pedicled flap grafts in the treatment of penile skin necrosis due to ring incarceration: a case series

Two laterally based scrotal pedicled flap grafts in the treatment of penile skin necrosis due to ring incarceration: a case series

Inverted urethral flap reconstruction after partial penectomy: Long-term oncological and functional outcomes

Effects of partial penectomy for penile cancer on sexual function: A systematic review

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