Management of invasive penile cancer by synchronous penile lengthening and radical tumour excision to avoid perineal urethrostomy.
BACKGROUND
Adequate excision of invasive penile carcinoma often results in a penile stump of inadequate length to control the urinary stream. A simple technique to lengthen the stump and avoid urethrostomy is described here.


METHODS
Additional corporal length is gained by dividing the dorsal suspensory ligaments through a transverse lower abdominal skin incision. Skin length is gained by vertical closure of this incision.


RESULTS
This technique has been successful in two cases where the stump length after partial penectomy was borderline. Each patient has a functional stump with satisfactory cosmesis.


CONCLUSIONS
In selected cases this technique may avert the need for perineal urethrostomy after adequate excision of a penile cancer.
Donnellan
S M
SM
Department of Urology, Royal Melbourne Hospital, Victoria, Australia.
Webb
D R
DR
D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008297:Male; D010412:Penile Neoplasms / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*