title: Glans reconstruction with the use of an inverted urethral flap after distal penile amputation for carcinoma.
abstract: Restoration of adequate cosmesis and preservation of sexual and urinary function are the main goals of penile reconstructive surgery following amputation for carcinoma. Split thickness skin grafts and oral mucosa grafts have been widely used for the creation of a pseudoglans with excellent cosmetic and functional results. The main drawbacks associated with the use of grafts are donor site morbidity, the lack of engorgement of the pseudoglans and the risk of poor graft take, which may lead to contracture and poor cosmetic results. In the present series the long term cosmetic and functional outcomes of glans reconstruction with an inverted distal urethral flap are described.
authors.affiliation: Department of Experimental Medicine and Surgery, Tor Vergata University of Rome, Rome, Italy. salvatore.sansalone@yahoo.it
authors.forename: Salvatore
authors.initials: S
authors.lastname: Sansalone
authors.forename: Giulio
authors.initials: G
authors.lastname: Garaffa
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Vespasiani
authors.forename: Alessandro
authors.initials: A
authors.lastname: Zucchi
authors.forename: Franklin Emmanuel
authors.initials: FE
authors.lastname: Kuehhas
authors.forename: Ralf
authors.initials: R
authors.lastname: Herwig
authors.forename: Mauro
authors.initials: M
authors.lastname: Silvani
authors.forename: Stefano
authors.initials: S
authors.lastname: Pecoraro
authors.forename: Carla
authors.initials: C
authors.lastname: Loreto
authors.forename: Rosario
authors.initials: R
authors.lastname: Leonardi
mesh_terms: D000328:Adult; D000368:Aged; D000671:Amputation, Surgical; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010412:Penile Neoplasms / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D013524:Surgical Flaps; D014521:Urethra / Q000637:transplantation*; D013521:Urologic Surgical Procedures, Male / Q000379:methods