[Application of glans reconstruction with inverted urethral flap in penectomy]

Objective To investigate the application value of inverted urethral flap for glans reconstruction in the treatment of penile carcinoma. MethodsWe retrospectively analyzed the clinical data of penile cancer patients treated in Baoji Central Hospital from Jan. 2019 to Jun. 2023. All patients were divided into two groups including the traditional partial penectomy（TPP）group and the glans reconstruction group with inverted urethral flap（GR-IUF）.The pre-, intra- and post-operative data were recorded and compared between the two groups. Results Both groups of patients successfully completed the surgery. There was no difference in the general data and tumor features between the two groups (P>0.05). There was no difference in the follow-up time（［46.44±10.99］ months vs ［42.57±12.10］ months）,operation time（［61.32±10.23］ min　vs ［65.24±4.17］ min）, intraoperative blood loss（［25.62±2.61］mL vs ［26.81±1.60］ mL）, postoperative hospital stay (［4.91±0.51］ d vs ［5.19±0.68］ d), catheter indwelling time (［11.88±1.25］d vs ［11.33±1.24］ d) between the TPP group and GR-IUF group (P>0.05), as well as the local recurrence rate after operation (14.7% vs 9.5%, P>0.05). The average score of IIEF-15 in the patients of GR-IUF group was higher than that of TPP group (P<0.05). And the patient's satisfaction on the appearance of the penis was also higher than that in TPP group(P<0.05). ConclusionGlans reconstruction with an inverted urethral flap is a simple, safe and appropriate surgical method, which achieves satisfactory cosmetic outcome.