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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Arab+J+Urol
2011 ; 9
(2
): 115-20
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Aesthetic neo-glans reconstruction after penis-sparing surgery for benign,
premalignant or malignant penile lesions
#MMPMID26579279
Palminteri E
; Fusco F
; Berdondini E
; Salonia A
Arab J Urol
2011[Jun]; 9
(2
): 115-20
PMID26579279
show ga
PURPOSE: To describe the technique and results of penis-sparing surgery combined
with a cosmetic neo-glans reconstruction for benign, pre-malignant or malignant
penile lesions. PATIENTS AND METHODS: Twenty-one patients (mean age 61 years)
with penile lesions with a broad spectrum of histopathology underwent
organ-sparing surgery with neo-glans reconstruction, using a free split-thickness
skin graft harvested from the thigh. Three patients were treated by
glans-skinning and glans-resurfacing, 10 by glansectomy and neo-glans
reconstruction, four by partial penectomy and a neo-glans reconstruction, and
four by neo-glans reconstruction after a traditional partial penectomy. RESULTS:
The mean follow-up was 45 months; all patients were free of primary local
disease. All patients were satisfied with the appearance of the penis after
surgery, and recovered their sexual ability, although sensitivity was reduced as
a consequence of glans/penile amputation. CONCLUSION: In benign, premalignant or
malignant penile lesions, penis-sparing surgery combined with a cosmetic
neo-glans reconstruction can be used to assure a normally appearing and
functional penis, while fully eradicating the primary local disease.