title: Aesthetic neo-glans reconstruction after penis-sparing surgery for benign, premalignant or malignant penile lesions.
abstract: OBJECTIVE
  To describe the technique and results of penis-sparing surgery combined with a cosmetic neo-glans reconstruction for benign, pre-malignant or malignant penile lesions.
  
  
  METHODS
  Twenty-one patients (mean age 61 years) with penile lesions with a broad spectrum of histopathology underwent organ-sparing surgery with neo-glans reconstruction, using a free split-thickness skin graft harvested from the thigh. Three patients were treated by glans-skinning and glans-resurfacing, 10 by glansectomy and neo-glans reconstruction, four by partial penectomy and a neo-glans reconstruction, and four by neo-glans reconstruction after a traditional partial penectomy.
  
  
  RESULTS
  The mean follow-up was 45 months; all patients were free of primary local disease. All patients were satisfied with the appearance of the penis after surgery, and recovered their sexual ability, although sensitivity was reduced as a consequence of glans/penile amputation.
  
  
  CONCLUSIONS
  In benign, premalignant or malignant penile lesions, penis-sparing surgery combined with a cosmetic neo-glans reconstruction can be used to assure a normally appearing and functional penis, while fully eradicating the primary local disease.
authors.affiliation: Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy.
authors.forename: Enzo
authors.initials: E
authors.lastname: Palminteri
authors.affiliation: Department of Urology, University Federico II, Naples, Italy.
authors.forename: Fernando
authors.initials: F
authors.lastname: Fusco
authors.affiliation: Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Berdondini
authors.affiliation: Department of Urology, University Vita-Salute San Raffaele, Milan, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Salonia
keywords: Carcinoma; Glans reconstruction; LS, lichen sclerosus; Lichen sclerosus; Penis; SCC, squamous cell carcinoma; STSG, split-thickness skin graft; Squamous cell