Purpose: We describe a method for avoiding perineal urethrostomy, and maintaining penile cosmesis and function after penile amputation.
Materials And Methods: Penile reconstruction was performed in 1 patient with traumatic total amputation of the penis and 1 undergoing near total penectomy for carcinoma by advancing the penile stump and covering the resultant phallus with rotational full thickness scrotal flaps.
Results: Both patients were able to void while standing, and have intact sensation and erectile capability in the residual neophallus.
Conclusions: Perineal urethrostomy is not necessary after penopubic penile amputation. Advancement of residual cavernosal tissue and skin coverage with scrotal flaps minimize altered body image, and maintain sensation and normal voiding position.
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Am J Transl Res
November 2024
Department of Urology, A.O.U. Città della Salute e della Scienza, University of Turin Turin, Italy.
This study aims to report the oncological, surgical and functional outcomes in 15 patients with locally advanced penile cancer who underwent total penile amputation with perineal urethrostomy (PU). A single-center retrospective analysis was conducted from January 2018 to September 2023. Outcomes included postoperative complications, cancer-specific survival (CSS), and overall survival (OS).
View Article and Find Full Text PDFUrol Ann
October 2024
Department of Urology and Renal Transplant, AIIMS, Raipur, Chhattisgarh, India.
Background: We present retrospective data of patients with nonmuscle invasive bladder cancer (NMIBC) who underwent restaging transurethral resection of bladder tumor (Re-TURBT) at a tertiary care center.
Materials And Methods: Records of all NMIBC patients undergoing Re-TURBT between March 2021 and September 2023 were retrospectively analyzed. Patients were risk stratified based on TURBT pathology.
Fr J Urol
November 2024
Urology Department, Hopital Foch, Suresnes, France.
Introduction: Distal anterior urethral strictures (DAUS) affect the meatus, navicular fossa (NF) and penile urethra (PU). The main causes are inflammatory (lichen sclerosous [LS]), traumatic iatrogenic, or idiopathic. Post-hypospadias stenosis is common and constitutes a separate entity, dealt with in a separate article.
View Article and Find Full Text PDFFr J Urol
November 2024
Department of Urology, Hospices Civils de Lyon, Hôpital Lyon Sud, Pierre-Bénite cedex, France.
Background: Bulbar urethral strictures are the most frequently encountered. Their management is standardized and needs to be applied to improve results.
Methods: A comprehensive literature review was conducted from December 2020 to December 2023, combined with a summary of recommendations from the American, Canadian, European, and French urological associations.
BMJ Case Rep
November 2024
Urology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Rectal cancer metastasising to the penis is an exceptionally rare clinical entity, with less than 80 reported cases. Metastasis to the penis is typically identified in conjunction with widespread metastatic disease and as such is usually associated with a very poor prognosis. We report a case of a man who presented with a metastatic deposit in his penis 15 years after the initial diagnosis of rectal cancer.
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