title: [Reconstruction of the glans with free-skin graft applying the Bracka technique].
abstract: BACKGROUND
  We analyse our experience in the conservative surgical management of penile cancer and/or penile skin pathologies at our institution.
  
  
  METHODS
  We have retrospectively reviewed all the skin grafting procedures performed in penile surgery in the last eight years. We show the indications and results of these surgical procedures and the detailed surgical technique originally described by Bracka.
  
  
  RESULTS
  Ten patients had several types of partial penile removal surgery followed by free-skin graft resurfacing, creating a neoglans. There were no relevant or major complications; two patients suffered partial necrosis of the skin graft. There was no local recurrence. 6 Patients returned to normal sexual activity after complete healing.
  
  
  CONCLUSIONS
  There is a significant number of patients with penile cancer and/or other penile skin pathologies who can undergo definitive and non-mutilating surgery with excellent oncologic, cosmetic and functional results with skin grafting.
authors.affiliation: Servicio de Urología, Instituto Valenciano de Oncología, Valencia, España. dr.alvaro@gomez-ferrer.net
authors.forename: A
authors.initials: A
authors.lastname: Gómez-Ferrer
authors.forename: J
authors.initials: J
authors.lastname: Rubio-Briones
authors.forename: A
authors.initials: A
authors.lastname: Collado
authors.forename: M
authors.initials: M
authors.lastname: Trassierra
authors.forename: J
authors.initials: J
authors.lastname: Casanova
authors.forename: J L
authors.initials: JL
authors.lastname: Monrós
authors.forename: J V
authors.initials: JV
authors.lastname: Ricós
authors.forename: M Á
authors.initials: MÁ
authors.lastname: Bonillo
authors.forename: I
authors.initials: I
authors.lastname: Iborra
authors.forename: E
authors.initials: E
authors.lastname: Solsona
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000601:surgery*; D010412:Penile Neoplasms / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D012189:Retrospective Studies; D013521:Urologic Surgical Procedures, Male / Q000379:methods