Glansectomy for penile cancer with glanse reconstruction using urethral flap and subsequent ligamentotomy

Number №1, 2022 - page 32-37

DOI: 10.29188/2222-8543-2022-15-1-32-37

For citation: Popov S.V., Orlov I.N., Gulko A.M., Grin E.A., Topuzov T.M., Tsoy A.V., Mokritsina E.D., Kotlov M.A., Gorelik M.L., Perfilev M.A. Glansectomy for penile cancer with glanse reconstruction with urethral flap and subsequent ligamentotomy. Experimental and Clinical Urology, 2022;15(1):32-37; https://doi.org/10.29188/2222-8543-2022-15-1-32-37

Popov S.V. Orlov I.N. Gul'ko A.M. Grin' E.A. Topuzov T.M. Coy A.V. Mokricina E.D. Kotlov M.A. Gorelik M.L. Perfil'ev M.A.

Information about authors:

Popov S.V. – PhD, MD, Professor of the department of urology of Military-medical academy named after S.M. Kirov, Head physician of Clinical Hospital of St. Luke; Saint-Petersburg, Russia; https://orcid.org/0000-0003-2767-7153
Orlov I.N. – PhD, head of the urology department No. 1, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000-0001-5566-9789
Gulko A.M. – urologist, St. Petersburg City Polyclinic No. 44; Saint-Petersburg, Russia; https://orcid.org/0000-0003-4847-9519
Grin E.A. – urologist, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000‑0002‑8685‑6525
Topuzov T.M. – PhD, urologist, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000-0002-5040-5546
Tsoy A.V. – urologist, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000‑0001‑6169‑2539
Mokritsina E.D. – student, North-Western State Medical University named after I.I. Mechnikov; Saint-Petersburg, Russia
Kotlov M.A. – student, North-Western State Medical University named after I.I. Mechnikov; Saint-Petersburg, Russia
Gorelik M.L. – resident-urologist, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000-0003-0118-9194
Perfilev M.A. – resident-urologist, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000-0002-3723-8157

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Introduction. Glansectomy is one of the organ-sparing surgeries for localized penile cancer (PC) treatment. Glanuloplasty with urethral flap was made to achieve good cosmetic results. Unfortunately, this method is inevitably leads to micropenia, and therefore penile elongation should be considered as a component of the complex treatment. We have presented the outcomes of this treatment method in patient with PC.

Materials and methods. A 33-year-old patient with T1 glans of the penis tumor admitted to St. Luke clinical hospital. Glansectomy with glans reconstruction by urethral flap was performed. Subsequent micropenia was corrected by ligamentotomy with filling of the intervening space with silicone testicular implant as a next step of surgical treatment.

Results. The postoperative course was uneventful after both surgeries. The patient was satisfied with the final appearance of his penis.

Conclusions. The presented double-step surgical intervention is an effective treatment for PC with excellent cosmetic and functional results.

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Keywords: penile cancer; radical treatment; organ-preserving surgery; glansectomy; glanuloplasty; urethral flap; ligamentotomy

Glansectomy for penile cancer with glanse reconstruction using urethral flap and subsequent ligamentotomy

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