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Updated: Jul 19, 2026
Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
Reconstructive surgery of the penis
David J Ralph1, Giulio Garaffa, Miguel Angel Bonillo García
1Institute of Urology, University College London, 252 Euston Road, London, UK. dralph@andrology.co.uk
Purpose Of Review:
Diseases of the penis are common, and the aim now is the preservation of function and cosmesis of the penis using modern penile reconstructive techniques. Penile cancer, Peyronie's disease and trauma are the three pathologies assessed.
Recent Findings:
Modern conservative organ-sparing surgery in penile cancer has shown that good oncological control can be gained by 2 mm margins that allow preservation of sexual function. Early intervention in the traumatic penis gives better results whereas the Nesbit operation is still the gold standard for Peyronie's disease as the quest for an alternative graft to saphenous vein continues.
Summary:
The current operations of choice in penile reconstruction are glansectomy and skin grafting to fashion a neoglans in penile cancer and the Nesbit operation or saphenous grafting for Peyronie's disease.
Insights
Modern penile reconstructive techniques aim to preserve penis function and appearance. Organ-sparing surgery for penile cancer and early trauma intervention yield good results, while the Nesbit operation remains standard for Peyronie
Area of Science:
- Urology
- Andrology
- Reconstructive Surgery
Background:
- Penile diseases are common, necessitating effective treatment strategies.
- Preservation of penile function and cosmesis is a key goal in management.
- Modern reconstructive techniques are advancing the field of penile surgery.
Purpose of the Study:
- To review modern penile reconstructive techniques for common penile pathologies.
- To assess outcomes for penile cancer, Peyronie's disease, and trauma.
- To highlight current standards of care in penile reconstruction.
Main Methods:
- Review of current literature on penile reconstructive techniques.
- Assessment of organ-sparing surgery for penile cancer.
- Evaluation of interventions for traumatic penile injuries.
- Analysis of surgical options for Peyronie's disease.
Main Results:
- Organ-sparing surgery for penile cancer with 2 mm margins achieves oncological control and preserves sexual function.
- Early intervention in penile trauma leads to improved outcomes.
- The Nesbit operation is the established treatment for Peyronie's disease, with ongoing research for alternative grafts.
- Glansectomy and skin grafting are current choices for penile cancer reconstruction.
- Nesbit operation or saphenous grafting are preferred for Peyronie's disease.
Conclusions:
- Modern techniques allow for functional and cosmetic preservation in penile reconstruction.
- Conservative organ-sparing surgery is effective for penile cancer.
- The Nesbit operation remains a gold standard for Peyronie's disease.
- Timely intervention is crucial for optimal results in penile trauma and reconstruction.
