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10.1016/j.aju.2011.06.013

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suck abstract from ncbi


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pmid26579279
      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.
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