Functional and Patient Reported Outcomes Following Total Glans Resurfacing

Area of Science:

• Urology
• Oncology
• Dermatology

Background:

• Penile preservation surgery is gaining traction over aggressive treatments for penile diseases.
• Functional and patient-reported outcomes (PROs) for penile preservation are underreported.
• Total glans resurfacing (TGR) is a penile preservation technique with limited outcome data.

Purpose of the Study:

• To evaluate functional outcomes and PROs of TGR in patients with lichen sclerosis (LS) or localized penile cancer (PC).
• To assess the efficacy of TGR in maintaining urinary and sexual function.
• To report patient satisfaction and quality of life following TGR.

Main Methods:

• Retrospective review of 37 consecutive patients undergoing TGR for LS or PC (2004-2018).
• Assessment of urinary and sexual function using the International Index of Erectile Function (IIEF) and International Prostate Symptom Score (IPSS).
• Collection of PROs via a 5-item telephone questionnaire at 1-year post-procedure.

Main Results:

• No significant deterioration in urinary or sexual function post-TGR.
• Glans sensitivity maintained in 89.2% of patients.
• High patient satisfaction (94.5%), willingness to repeat the procedure (91.9%), and improved quality of life (86.4%).

Conclusions:

• TGR is a viable surgical option for selected benign or malignant penile lesions.
• TGR ensures satisfactory voiding and sexual function, alongside good cosmetic results.
• TGR represents an excellent choice for penile lesion management, enhancing patient-reported outcomes.