title: Glans-preserving surgery for superficial penile cancer.
abstract: In this study, we investigated the safety and feasibility of  glans-preserving surgery for superficial penile squamous cell carcinoma. Young  patients with penile primary tumors exhibiting favorable histologic features  were best suited for organ-sparing procedures, enabling them to avoid sexual  disturbances. The study included 12 patients, 38-53 years of age (median  age 46 years), with superficial lesions involving the glans penis, coronary  sulcus, or shaft skin. After clinical staging and grading, those patients were  offered a glans-preserving procedure to preserve the normal appearance and  functional integrity of the glans penis. Of the 12 patients referred, the  tumors were TaG1 in 4 patients, TaG2 in 3, TisG1 in 1, TisG2 in 1, T1G1 in 2,  and T1G2 in 1. All patients returned to normal sexual activity 1 month  postoperatively. Sexual function and sexual satisfaction were well maintained  after surgery. The cosmetic results were considered satisfying/very satisfying  by 83% (10 of 12 patients). Follow-up data were available on 12 patients at a  mean follow-up of 62.5 months. Only 1 patient had recurrence 6 months after  surgery, which was managed by a second glans-preserving surgery without  recurrence. With careful patient selection and vigilant follow-up,  anatomically suitable superficial penile cancer can be offered this  glans-preserving surgery, while preserving function of the penis wherever  possible.
authors.affiliation: Department of Urology, the First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing 210029, China. songninghong@njmu.edu.cn
authors.forename: Pengchao
authors.initials: P
authors.lastname: Li
authors.forename: Ninghong
authors.initials: N
authors.lastname: Song
authors.forename: Changjun
authors.initials: C
authors.lastname: Yin
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.forename: Jie
authors.initials: J
authors.lastname: Li
authors.forename: Lixin
authors.initials: L
authors.lastname: Hua
authors.forename: Zengjun
authors.initials: Z
authors.lastname: Wang
authors.forename: Gong
authors.initials: G
authors.lastname: Cheng
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003075:Coitus; D004542:Ejaculation; D006801:Humans; D008297:Male; D008875:Middle Aged; D060787:Neoplasm Grading; D017060:Patient Satisfaction; D010412:Penile Neoplasms / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods*