Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft

Partial penectomy (glansectomy with/or without distal corporectomy) is an acceptable alternative for smaller distal pT3 penile carcinoma lesions in highly motivated and compliant patients. The authors describe a novel technique of neo-glans reconstruction using a tunica vaginalis (TV) testis allogra...

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Autores principales:	Peter Weibl, Christina Plank, Rudolf Hoelzel, Stefan Hacker, Mesut Remzi, Wilhelm Huebner
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Penile cancer Glansectomy Glans reconstruction Neo-glans reconstruction Tunica vaginalis testis Split-thickness skin graft Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/40c61b11acc54fa2aa7ece44fc7b98d5
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spelling	oai:doaj.org-article:40c61b11acc54fa2aa7ece44fc7b98d52021-12-02T10:11:40ZNeo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft2090-598X10.1016/j.aju.2018.02.002https://doaj.org/article/40c61b11acc54fa2aa7ece44fc7b98d52018-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300299https://doaj.org/toc/2090-598XPartial penectomy (glansectomy with/or without distal corporectomy) is an acceptable alternative for smaller distal pT3 penile carcinoma lesions in highly motivated and compliant patients. The authors describe a novel technique of neo-glans reconstruction using a tunica vaginalis (TV) testis allograft. However, due to an unclear resection margin on final histology, the patient underwent re-do surgery with a neo-glans revision using the well-established mesh split-thickness skin graft (STSG) technique. The penile length was preserved and the penile and bulbar part of the urethra was additionally mobilised in order to obtain a natural and aesthetic result for the meatus. Neo-glans reconstruction with TV coverage may be another promising alternative, which certainly requires further evaluation. We believe that the donor-site associated morbidity is minimal when compared to other harvesting sites. However, this is just an assumption, because direct comparison data on grafting techniques and neo-glans reconstruction are not available. Nevertheless, we think that for re-do procedures a standardised approach using a STSG technique should be the treatment method of choice.Peter WeiblChristina PlankRudolf HoelzelStefan HackerMesut RemziWilhelm HuebnerTaylor & Francis GrouparticlePenile cancerGlansectomyGlans reconstructionNeo-glans reconstructionTunica vaginalis testisSplit-thickness skin graftDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 2, Pp 218-223 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Penile cancer Glansectomy Glans reconstruction Neo-glans reconstruction Tunica vaginalis testis Split-thickness skin graft Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Penile cancer Glansectomy Glans reconstruction Neo-glans reconstruction Tunica vaginalis testis Split-thickness skin graft Diseases of the genitourinary system. Urology RC870-923 Peter Weibl Christina Plank Rudolf Hoelzel Stefan Hacker Mesut Remzi Wilhelm Huebner Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft
description	Partial penectomy (glansectomy with/or without distal corporectomy) is an acceptable alternative for smaller distal pT3 penile carcinoma lesions in highly motivated and compliant patients. The authors describe a novel technique of neo-glans reconstruction using a tunica vaginalis (TV) testis allograft. However, due to an unclear resection margin on final histology, the patient underwent re-do surgery with a neo-glans revision using the well-established mesh split-thickness skin graft (STSG) technique. The penile length was preserved and the penile and bulbar part of the urethra was additionally mobilised in order to obtain a natural and aesthetic result for the meatus. Neo-glans reconstruction with TV coverage may be another promising alternative, which certainly requires further evaluation. We believe that the donor-site associated morbidity is minimal when compared to other harvesting sites. However, this is just an assumption, because direct comparison data on grafting techniques and neo-glans reconstruction are not available. Nevertheless, we think that for re-do procedures a standardised approach using a STSG technique should be the treatment method of choice.
format	article
author	Peter Weibl Christina Plank Rudolf Hoelzel Stefan Hacker Mesut Remzi Wilhelm Huebner
author_facet	Peter Weibl Christina Plank Rudolf Hoelzel Stefan Hacker Mesut Remzi Wilhelm Huebner
author_sort	Peter Weibl
title	Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft
title_short	Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft
title_full	Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft
title_fullStr	Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft
title_full_unstemmed	Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft
title_sort	neo-glans reconstruction for penile cancer: description of the primary technique using autologous testicular tunica vaginalis graft
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/40c61b11acc54fa2aa7ece44fc7b98d5
work_keys_str_mv	AT peterweibl neoglansreconstructionforpenilecancerdescriptionoftheprimarytechniqueusingautologoustesticulartunicavaginalisgraft AT christinaplank neoglansreconstructionforpenilecancerdescriptionoftheprimarytechniqueusingautologoustesticulartunicavaginalisgraft AT rudolfhoelzel neoglansreconstructionforpenilecancerdescriptionoftheprimarytechniqueusingautologoustesticulartunicavaginalisgraft AT stefanhacker neoglansreconstructionforpenilecancerdescriptionoftheprimarytechniqueusingautologoustesticulartunicavaginalisgraft AT mesutremzi neoglansreconstructionforpenilecancerdescriptionoftheprimarytechniqueusingautologoustesticulartunicavaginalisgraft AT wilhelmhuebner neoglansreconstructionforpenilecancerdescriptionoftheprimarytechniqueusingautologoustesticulartunicavaginalisgraft
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Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft

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