Partial or total glans resurfacing with partial thickness skin graft reconstruction to maximize cosmetic and functional outcomes in patients with malignant and benign penile diseases – our initial experience

Abstract

Objectives:

Patients with penile tumours or severe Lichen Sclerosus et atrophicus (LS) refractory to medical treatment historically require partial penile amputation. Recently, various organ‐preservation techniques have been developed to improve functional and cosmetic outcomes. The aim of this study was to analyse our initial experience in partial or total glans‐resurfacing concerning their oncological, cosmetic and functional outcomes

Patients and Methods:

Prospective patients with penile tumours or severe LS treated with glans‐resurfacing were enrolled between July 2017 to July 2018. Oncological and functional outcomes, cosmesis and patient satisfaction were assessed during follow up.

Results:

4 patients were eligible. 2 patients had total glans‐resurfacing reconstructed with partial thickness skin graft, and the remaining 2 had partial. 2 patients had G3pT1 penile cancer. One patient had severe giant condyloma acuminata, 1 had severe LS, both refractory to medical treatment. No peri‐operative complication was reported. Surgical margins were clear for both penile cancer patients. All patients had complete graft take. Median cosmesis score was 5 out of 5 on visual analog scale. All patients remained sexually active following surgery.

Conclusion:

Glans resurfacing is a feasible organ‐preserving surgical option in correctly selected patients for both malignant and benign penile diseases, with excellent functional and oncological outcomes.