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Related Experiment Video

Updated: Jun 7, 2025

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Partial penectomy with reconstruction using a split-thickness skin graft: a multicenter experience.

Mateusz Czajkowski1, Bartosz Małkiewicz, Katarzyna Czajkowska

  • 1- drmatczajkowski@gmail.com.

Minerva Urology and Nephrology
|November 21, 2024
PubMed
Summary

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Partial penectomy with skin grafting offers excellent oncological, functional, and cosmetic results for penile cancer patients. This penile-sparing surgery preserves sexual and urinary functions, with high success rates and minimal recurrence.

Area of Science:

  • Oncology
  • Urology
  • Surgical Techniques

Background:

  • Penile cancer is rare in developed nations, often diagnosed at an early, organ-confined stage with a high survival rate.
  • Preserving sexual and urinary function after penile tumor resection is critical.
  • A lack of detailed video guides for partial penectomy with split-thickness skin graft reconstruction exists.

Purpose of the Study:

  • To provide a step-by-step video demonstration of partial penectomy with 0.3 mm split-thickness skin graft reconstruction.
  • To evaluate the oncological, functional, and cosmetic outcomes of this surgical technique.

Main Methods:

  • A multicenter study involving 54 male patients undergoing partial penectomy and skin graft reconstruction.
  • Data collection focused on local recurrence, overall survival, sexual and voiding function, and complications.

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  • Surgical procedure video documentation was created.

    • Main Results:

    • The average patient age was 61.26 years.
    • High rates of functional preservation: 68.5% sexually active, 92.6% with good voiding function.
    • Excellent cosmetic outcomes (96.3%) and no positive surgical margins were observed; average margin size was 4.75±4.162 mm.

    Conclusions:

    • Partial penectomy with split-thickness skin graft reconstruction yields excellent oncological control.
    • The procedure demonstrates favorable functional (sexual and voiding) and cosmetic outcomes.
    • Tumor stage and grade are more predictive of patient outcomes than surgical margin size.