Reconstructive surgery of the penis.
OBJECTIVE
Diseases of the penis are common, and the aim now is the preservation of function and cosmesis of the penis using modern penile reconstructive techniques. Penile cancer, Peyronie's disease and trauma are the three pathologies assessed.


RESULTS
Modern conservative organ-sparing surgery in penile cancer has shown that good oncological control can be gained by 2 mm margins that allow preservation of sexual function. Early intervention in the traumatic penis gives better results whereas the Nesbit operation is still the gold standard for Peyronie's disease as the quest for an alternative graft to saphenous vein continues.


CONCLUSIONS
The current operations of choice in penile reconstruction are glansectomy and skin grafting to fashion a neoglans in penile cancer and the Nesbit operation or saphenous grafting for Peyronie's disease.
Ralph
David J
DJ
Institute of Urology, University College London, 252 Euston Road, London, UK. dralph@andrology.co.uk
Garaffa
Giulio
G
García
Miguel Angel Bonillo
MA
D006801:Humans; D008297:Male; D010411:Penile Induration / Q000473:pathology / Q000601:surgery; D010412:Penile Neoplasms / Q000473:pathology / Q000601:surgery; D010413:Penis / Q000293:injuries / Q000502:physiology / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation; D016038:Skin Transplantation; D013521:Urologic Surgical Procedures, Male / Q000379:methods*