[New metod for recovering of defects on Glans penis after partial or total glansectomy with transplantation of the oral mucosa].
OBJECTIVE
The aim of the present research is to present a new surgical method of treatment of tissue defects of Glans penis through cover of the wound surface with free transplantation of patient's oral muccosa patch graft. The Glans penis defects treated have formed from excision of primary tumor lesions through partial and total glansectomy.


METHODS
For a 3-year period (2003-2005), 13 patients having penile cancer were diagnosed and treated at the Clinic of Urology, Medical University, Sofia In 7 (53.8%) of these, were found to be in phase T1NoMo. In 5 (71.4%) of the said cases, in order to cover the tissue defect, free mucosa transplant was used upon partial or complete glansectomy. In 4 (80%) cases, buccal mucosa patch graft was used, and in 1 (20%) case--patch graft from lower lip oral mucosa.


RESULTS
The histological results from the operations performed have confirmed the staging of the disease, where they have shown 4 flat-cells and 1 verrucous cancers. Within the early post-operative period, no surgical complications were noted, not only at the place of extracting the transplant, but also at the place of its transplantation. Late complications and relapses have not been observed.


CONCLUSIONS
Our initial experience with utilizing free transplantation of muccosa extracted from the oscular cavity for replacement of the surgical defect upon partial or complete glansectomy has shown it is an alternative to the rest of treatment methods. Buccal mucosa patch graft is more suitable in the case of partial glansectomy because it has a thicker wall.
Venkov
G
G
Slavov
Ch
Ch
D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation*; D010412:Penile Neoplasms / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods*