Glans reconstruction with the use of an inverted urethral flap after distal penile amputation for carcinoma

  • Salvatore Sansalone | salvatore.sansalone@yahoo.it Department of Experimental Medicine and Surgery, Tor Vergata University of Rome, Rome, Italy.
  • Giulio Garaffa St Peter’s Andrology, University College London Hospitals, London, United Kingdom.
  • Giuseppe Vespasiani Department of Experimental Medicine and Surgery, Tor Vergata University of Rome, Rome, Italy.
  • Alessandro Zucchi Department of Urology and Andrology, University of Perugia, Perugia, Italy.
  • Franklin Emmanuel Kuehhas Department of Urology, Medical University of Vienna, Vienna, Austria.
  • Ralf Herwig Department of Urology, Medical University of Vienna, Vienna, Austria.
  • Mauro Silvani Department of Urology, General Hospital, Biella, Italy.
  • Stefano Pecoraro Department of Nephro-Urology, Malzoni Medical Center Avellino, Avellino, Italy.
  • Carla Loreto Department of Bio-Medical Sciences, Anatomy Section, University of Catania, Catania, Italy.
  • Rosario Leonardi Musumeci GECAS Clinic of Catania, Catania, Italy.

Abstract

Restoration of adequate cosmesis and preservation of sexual and urinary function are the main goals of penile reconstructive surgery following amputation for carcinoma. Split thickness skin grafts and oral mucosa grafts have been widely used for the creation of a pseudoglans with excellent cosmetic and functional results. The main drawbacks associated with the use of grafts are donor site morbidity, the lack of engorgement of the pseudoglans and the risk of poor graft take, which may lead to contracture and poor cosmetic results. In the present series the long term cosmetic and functional outcomes of glans reconstruction with an inverted distal urethral flap are described.

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Published
2013-04-19
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Section
Original Papers - Andrology
Keywords:
Glans reconstruction, Urethral flap, Penile cancer.
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How to Cite
Sansalone, S., Garaffa, G., Vespasiani, G., Zucchi, A., Kuehhas, F. E., Herwig, R., Silvani, M., Pecoraro, S., Loreto, C., & Leonardi, R. (2013). Glans reconstruction with the use of an inverted urethral flap after distal penile amputation for carcinoma. Archivio Italiano Di Urologia E Andrologia, 85(1), 24-27. https://doi.org/10.4081/aiua.2013.1.24