Reconstructive surgery for invasive squamous carcinoma of the glans penis.
OBJECTIVE
We present medium-term outcome data for patients with invasive penile cancer treated with glansectomy and reconstruction with a split-thickness skin graft.


METHODS
A series of consecutive patients referred with penile malignancies over a 6-yr period were analyzed prospectively. A dedicated histopathologist reviewed all the specimens. After clinical staging, patients with tumours confined to the glans were offered glansectomy.


RESULTS
A total of 72 patients (32% of patients, 31% of procedures) underwent glansectomy for penile carcinoma. Of these, 65 patients were new diagnoses and seven were recurrences after radiotherapy. The mean follow-up period was 27 mo (range: 4-68 mo). There have been three late local recurrences (4%).


CONCLUSIONS
Glansectomy appears to be an oncologically safe and effective procedure for patients with glans-confined squamous cell tumours. It preserves maximum phallic length and results in a very satisfactory cosmetic penile appearance after reconstruction.
Smith
Yuko
Y
Department of Urology, St George's Hospital, London, United Kingdom.
Hadway
Paul
P
Biedrzycki
Olaf
O
Perry
Matthew J A
MJ
Corbishley
Catherine
C
Watkin
Nicholas A
NA
D000671:Amputation, Surgical; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local; D010412:Penile Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D011795:Surveys and Questionnaires; D014182:Transplantation, Autologous; D016896:Treatment Outcome