Partial resection, inner thigh skin graft, and glans reconstruction for early-stage penile cancer: A report of 6 cases.
- Author:
Fei WANG
;
Wei-fu WANG
;
Zhong-yao WANG
;
Jian-xiang CHEN
;
De-hai CAI
;
Xiong FENG
;
Xin-li KANG
;
Song CEN
- Publication Type:Case Reports
- MeSH: Humans; Male; Penile Neoplasms; surgery; Penis; surgery; Reconstructive Surgical Procedures; Skin Transplantation; Thigh
- From: National Journal of Andrology 2016;22(1):28-31
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the optimal methods for the reconstruction and preservation of the glans after partial penis resection in the treatment of early-stage penile cancer.
METHODSBetween January 2012 and June 2015, we treated 6 cases of early- stage penile cancer by partial penis resection, inner thigh skin graft, and glans reconstruction and followed them up for 0.5-3 years.
RESULTSThe length of the penis before and after operation was ([6.5 ± 1.2] vs [4.5 ± 1.8] cm) in the flaccid state and ([12.8 ± 2.3] vs [9.1 ± 2.1] cm) in the erectile state. The sense of the reconstructed glans was completely recovered at 3 months after surgery. The glans skin was pale red and soft, nearly normal at 12 months, with no obvious graft contracture or scar formation. All the patients achieved normal erection and their partners were satisfied with their intercourse. No recurrence or metastasis was observed.
CONCLUSIONThe strategy of partial penis resection, inner thigh skin graft and glans reconstruction, simple, effective, and with few complications, is one of the best treatments of early-stage penile cancer, which not only ensures radical removal of the tumor but also maximally reserves the function of the organ.