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Phallus preservation for urethral cancer: subcutaneous penectomy
The Journal of Urology
|November 20, 1997
Summary
Subcutaneous penectomy offers a phallus-preserving alternative for male urethral cancer patients, achieving good cosmetic results and no local recurrence. Preserving the dorsal neurovascular bundle is recommended for optimal outcomes.
Area of Science:
- Urology
- Surgical Oncology
- Oncology
Background:
- Urethral cancer necessitates treatment, often involving penectomy.
- Amputating penectomy can lead to significant functional and cosmetic deficits.
Observation:
- This study reviews the surgical management and follow-up of three male patients with squamous cell carcinoma of the urethra.
- Subcutaneous penectomy was utilized as an alternative surgical approach.
Findings:
- All patients achieved disease-free status at 6-22 months post-surgery, reporting satisfaction with phallic appearance.
- Preservation of the dorsal neurovascular bundle was associated with better outcomes, though conservative management resolved complications in one case where it was not preserved.
- One patient is considering phallus reconstruction, while another died from metastatic disease without local recurrence.
Implications:
- Subcutaneous penectomy represents a viable, phallus-preserving option for select urethral cancer patients.
- Prioritizing dorsal neurovascular bundle preservation may enhance functional and cosmetic results.
- This approach may offer superior cosmetic and reconstructive potential compared to amputation, without compromising oncological safety.