MANAGEMENT OF INVASIVE PENILE CANCER BY SYNCHRONOUS PENILE LENGTHENING AND RADICAL TUMOR-EXCISION TO AVOID PERINEAL URETHROSTOMY

Background: Adequate excision of invasive penile carcinoma often resul ts in a penile stump of inadequate length to control the urinary strea m. A simple technique to lengthen the stump and avoid urethrostomy is described here. Methods: Additional corporal length is gained by divid ing the dorsal suspensory ligaments through a transverse lower abdomin al skin incision. Skin length is gained by vertical closure of this in cision. Results: This technique has been successful in two cases where the stump length after partial penectomy was borderline. Each patient has a functional stump with satisfactory cosmesis. Conclusions: In se lected cases this technique may avert the need for perineal urethrosto my after adequate excision of a penile cancer.