Penile Reconstruction in Carcinoma Penis
Introduction: Surgical management for penile carcinoma is mutilating and affects significantly the quality of life. Penile reconstruction restores the quality but poses a difficult challenge for the surgeon.
Aim: To report outcomes of patients with penile cancer treated surgically in a tertiary centre.
Materials and Methods: We reviewed data on all patients undergoing surgical management of penile cancer at a tertiary referral centre; Medical College Hospital Trivandrum, Kerala; between 2012 and 2016. Patients underwent surgical procedures like glansectomy, partial or total penectomy with different types of reconstruction depending upon the clinical stage of the disease.
Results: Between 2012 and 2016, a total of 36 patients presenting with penile cancer underwent surgical treatment. Seven patients with a mean age of 52 (27–69) underwent penile preserving surgery with glansectomy and skin grafting for small glanular lesions. Of the remaining 29 patients who underwent surgery, 21 had partial while 7 had total penectomy with perineal urethrostomy and one patient was managed by circumcision alone, who was having verrucous carcinoma. Mean followup for patients was 24 months (range 10–46). There were no graft failures in our series. Four patients developed meatal stenosis requiring dilatation.
Conclusion: Efforts to preserve penile length and function in the surgical treatment of penile cancer should be made in all suitable patients. Penile preserving surgery with glansectomy and skin grafting is a successful technique with minimal complications for local control of penile carcinoma arising on the glans. Further reconstructive procedures should be offered to the suitable patients at a tertiary centre like ours.
When publishing with Kerala Medicial Journal (KMJ), authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Work includes the material submitted for publication and any other related material submitted to KMJ. In the event that KMJ does not publish said work, the author(s) will be so notified and all rights assigned hereunder will revert to the author(s).
The assignment of rights to KMJ includes but is not expressly limited to rights to edit, publish, reproduce, distribute copies, include in indexes or search databases in print, electronic, or other media, whether or not in use at the time of execution of this agreement.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
The author(s) hereby represents and warrants that they are sole author(s) of the work, that all authors have participated in and agree with the content and conclusions of the work, that the work is original, and does not infringe upon any copyright, propriety, or personal right of any third party, and that no part of it nor any work based on substantially similar data has been submitted to another publication.