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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
A Video-illustrated Overview of Reconstructive Surgical Techniques Following Penile Cancer Treatment
Kaat Vandermaesen1, Wai Gin Lee2, Laura Elst1
1Department of Urology, University Hospitals Leuven, Leuven, Belgium.
Abstract:
Surgery is the cornerstone of treatment for penile squamous cell carcinoma. Following surgical excision, reconstructive surgery is beneficial to restore aesthetics, functionality, and overall quality of life of these patients. In this mini-review, we discuss the use of skin grafts, perineal urethrostomy, phalloplasty, and vascularised flaps as reconstructive options following penile cancer treatment. Illustrated by videos, we highlight the surgical approach, indications, complications, and outcomes of these reconstructive strategies. PATIENT SUMMARY: Reconstructive surgery is important to restore appearance, urinary function, and sexual function in patients who have been treated for penile cancer. We discuss the benefits and potential complications of various surgical reconstructive options, which are illustrated with videos.

