PHALLUS PRESERVATION FOR URETHRAL CANCER - SUBCUTANEOUS PENECTOMY

Authors
Citation
E. Bird et M. Coburn, PHALLUS PRESERVATION FOR URETHRAL CANCER - SUBCUTANEOUS PENECTOMY, The Journal of urology, 158(6), 1997, pp. 2146-2148
Citations number
10
Categorie Soggetti
Urology & Nephrology
Journal title
ISSN journal
00225347
Volume
158
Issue
6
Year of publication
1997
Pages
2146 - 2148
Database
ISI
SICI code
0022-5347(1997)158:6<2146:PPFUC->2.0.ZU;2-2
Abstract
Purpose: We present a new alternative to amputating penectomy, subcuta neous penectomy, in the male patient with urethral cancer. Materials a nd Methods: The surgical management and followup of 3 men with squamou s cell cancers of the urethra are reviewed. Results: At 22, 9 and 6 mo nths postoperatively all patients were without evidence of local recur rence and were satisfied with phallic appearance. In 1 of 2 patients i n whom the dorsal neurovascular bundle was not preserved there was dis tal glans necrosis and wound separation which resolved after conservat ive management. One of the 3 patients is contemplating phallus reconst ruction. The patient who had pelvic lymph node metastases before penec tomy died of metastatic complications without local failure 9 months p ostoperatively. Conclusions: Phallus preservation in men with urethral cancer can be accomplished successfully with this type of procedure. The dorsal neurovascular bundle should be preserved when feasible. We contend that the cosmetic and potential reconstructive outcomes are su perior to amputation without sacrificing cancer therapy in the appropr iately selected patient.