Glans reconstruction with split-thickness skin graft
DOI: 10.22591/magyurol.2019.2.muranyim.73
Authors:
Murányi Mihály dr.1, Juhász István dr.2, Drabik Gyula dr.1, Kiss Zoltán dr.1, Flaskó Tibor dr.1
1Debreceni Egyetem Általános Orvostudományi Kar, Urológiai Tanszék, Debrecen (tanszékvezető: Flaskó Tibor dr.);
2Debreceni Egyetem Általános Orvostudományi Kar, Bőrgyógyászati Tanszék, Debrecen (tanszékvezető: Remenyik Éva dr.)
Summary
Objective: A patient with penile cancer located on the glans penis is reported. The authors performed glansectomy and glans reconstruction with meshed split-thickness skin graft. To our knowledge, this is the first report of glans reconstruction with split-thickness skin graft in Hungarian literature.
Case report: The 73-year-old patient had a biopsy-proven verrucous carcinoma of the penis. Glansectomy and glans reconstruction was performed. A subcoronal incision was carried out and then the glans and prepuce was removed en block. The penile skin was fixed to the corporal bodies 3 cm from the tip of the corpora, creating the neosulcus. Urethra was sutured to the corporal tips. Area between the neosulcus and meatus was covered by meshed unexpanded split thickness skin graft. Postoperative period was uneventful. 14 months after surgery follow up examination did not revealed local recurrence or metastasis.
Conclusion: Besides complete primary tumour removal, organ preservation is major issue in penile cancer treatment. Small T1/T2 localised glandular and preputial tumours are ideal for penile-sparing surgery. The aims of organ preservation are ability of voiding in standing position, preserving sexual health and better cosmetic result.