Reconstructive surgery in penile trauma and cancer
Penile reconstructive surgery requires expertise in genital surgery, whether it is for traumatic injuries or penile cancer. The stages of initial assessment and management of traumatic penile injuries and penile cancer, and the different reconstructive techniques available, are described in this rev...
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Veröffentlicht in: | Nature clinical practice urology 2005-08, Vol.2 (8), p.391-397 |
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description | Penile reconstructive surgery requires expertise in genital surgery, whether it is for traumatic injuries or penile cancer. The stages of initial assessment and management of traumatic penile injuries and penile cancer, and the different reconstructive techniques available, are described in this review by David Ralph and colleagues.
This article provides an overview of the current concepts in reconstructive surgery following penile trauma, penile fracture and penile cancer. It covers the initial management of penile trauma, with the aim of preservation of as much viable tissue as is practical, and also provides advice on dealing with penile avulsion and amputation injuries. The best treatment for penile fracture—immediate surgical exploration and repair—is outlined and discussed. Finally, penile cancer management is reviewed, from initial biopsy to definitive treatment of the penile lesion—including wide excision, partial glansectomy, total glansectomy, and partial and total penectomy. It is concluded that appropriate surgery in all these conditions reduces subsequent long-term problems in sexual function, cosmesis, psychology, and (in cancer cases) longevity. The same reconstructive techniques can be applied for different penile conditions, and it is suggested that surgeons become experienced in genital surgery as a whole, rather than in oncology or trauma alone. |
doi_str_mv | 10.1038/ncpuro0261 |
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This article provides an overview of the current concepts in reconstructive surgery following penile trauma, penile fracture and penile cancer. It covers the initial management of penile trauma, with the aim of preservation of as much viable tissue as is practical, and also provides advice on dealing with penile avulsion and amputation injuries. The best treatment for penile fracture—immediate surgical exploration and repair—is outlined and discussed. Finally, penile cancer management is reviewed, from initial biopsy to definitive treatment of the penile lesion—including wide excision, partial glansectomy, total glansectomy, and partial and total penectomy. It is concluded that appropriate surgery in all these conditions reduces subsequent long-term problems in sexual function, cosmesis, psychology, and (in cancer cases) longevity. The same reconstructive techniques can be applied for different penile conditions, and it is suggested that surgeons become experienced in genital surgery as a whole, rather than in oncology or trauma alone.</description><identifier>ISSN: 1743-4270</identifier><identifier>ISSN: 1759-4812</identifier><identifier>EISSN: 1743-4289</identifier><identifier>EISSN: 1759-4820</identifier><identifier>DOI: 10.1038/ncpuro0261</identifier><identifier>PMID: 16474736</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Amputation ; Care and treatment ; Catheters ; Clinical medicine ; Diagnosis ; Genital cancers ; Health aspects ; Humans ; Injuries ; Male ; Medicine ; Medicine & Public Health ; Patient outcomes ; Penile cancer ; Penile Neoplasms - surgery ; Penis ; Penis - injuries ; Penis - surgery ; Plastic surgery ; Reconstructive surgery ; Reconstructive Surgical Procedures - methods ; review-article ; Risk factors ; Skin & tissue grafts ; Surgery, Plastic ; Surgical techniques ; Trauma ; Urologic Surgical Procedures, Male - methods ; Urology</subject><ispartof>Nature clinical practice urology, 2005-08, Vol.2 (8), p.391-397</ispartof><rights>Springer Nature Limited 2005</rights><rights>COPYRIGHT 2005 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Aug 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-8026428837cc9771adad94d0040db50fdf056c1c0d22904fc8cfff64db46af3a3</citedby><cites>FETCH-LOGICAL-c479t-8026428837cc9771adad94d0040db50fdf056c1c0d22904fc8cfff64db46af3a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2727,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16474736$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ralph, David J</creatorcontrib><creatorcontrib>Summerton, Duncan J</creatorcontrib><creatorcontrib>Campbell, Alistair</creatorcontrib><creatorcontrib>Minhas, Suks</creatorcontrib><title>Reconstructive surgery in penile trauma and cancer</title><title>Nature clinical practice urology</title><addtitle>Nat Rev Urol</addtitle><addtitle>Nat Clin Pract Urol</addtitle><description>Penile reconstructive surgery requires expertise in genital surgery, whether it is for traumatic injuries or penile cancer. The stages of initial assessment and management of traumatic penile injuries and penile cancer, and the different reconstructive techniques available, are described in this review by David Ralph and colleagues.
This article provides an overview of the current concepts in reconstructive surgery following penile trauma, penile fracture and penile cancer. It covers the initial management of penile trauma, with the aim of preservation of as much viable tissue as is practical, and also provides advice on dealing with penile avulsion and amputation injuries. The best treatment for penile fracture—immediate surgical exploration and repair—is outlined and discussed. Finally, penile cancer management is reviewed, from initial biopsy to definitive treatment of the penile lesion—including wide excision, partial glansectomy, total glansectomy, and partial and total penectomy. It is concluded that appropriate surgery in all these conditions reduces subsequent long-term problems in sexual function, cosmesis, psychology, and (in cancer cases) longevity. The same reconstructive techniques can be applied for different penile conditions, and it is suggested that surgeons become experienced in genital surgery as a whole, rather than in oncology or trauma alone.</description><subject>Amputation</subject><subject>Care and treatment</subject><subject>Catheters</subject><subject>Clinical medicine</subject><subject>Diagnosis</subject><subject>Genital cancers</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Injuries</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Patient outcomes</subject><subject>Penile cancer</subject><subject>Penile Neoplasms - surgery</subject><subject>Penis</subject><subject>Penis - injuries</subject><subject>Penis - surgery</subject><subject>Plastic surgery</subject><subject>Reconstructive surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>review-article</subject><subject>Risk factors</subject><subject>Skin & tissue grafts</subject><subject>Surgery, Plastic</subject><subject>Surgical techniques</subject><subject>Trauma</subject><subject>Urologic Surgical Procedures, Male - methods</subject><subject>Urology</subject><issn>1743-4270</issn><issn>1759-4812</issn><issn>1743-4289</issn><issn>1759-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptkF1LwzAYhYMoTqc3_gApCF4onUmTNsnlGH7BQBC9Dlk-RkebzqQR9u-NdGxD5L3IC3nO4bwHgCsEJwhi9uDUOvoOFhU6AmeIEpyTgvHj3U7hCJyHsIIQU0rQKRihilBCcXUGinejOhd6H1Vff5ssRL80fpPVLlsbVzcm672Mrcyk05mSThl_AU6sbIK53L5j8Pn0-DF7yedvz6-z6TxXhPI-ZylQysEwVYpTiqSWmhMNIYF6UUKrLSwrhRTURcEhsYopa21F9IJU0mKJx-B28F377iua0Iu2Dso0jXSmi0FQiApUFlUCb_6Aqy56l7IJRBlnmBDEEzUZqKVsjKid7dJlKo02bZ06MDZdK6aIYcyTrEyCu0GgfBeCN1asfd1KvxEIit_ixb74BF9vM8RFa_Qe3TadgPsBCOnLpY4PQv5nlw20k330Zmd3gPwApTqYUg</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>Ralph, David J</creator><creator>Summerton, Duncan J</creator><creator>Campbell, Alistair</creator><creator>Minhas, Suks</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20050801</creationdate><title>Reconstructive surgery in penile trauma and cancer</title><author>Ralph, David J ; Summerton, Duncan J ; Campbell, Alistair ; Minhas, Suks</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-8026428837cc9771adad94d0040db50fdf056c1c0d22904fc8cfff64db46af3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Amputation</topic><topic>Care and treatment</topic><topic>Catheters</topic><topic>Clinical medicine</topic><topic>Diagnosis</topic><topic>Genital cancers</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Injuries</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Patient outcomes</topic><topic>Penile cancer</topic><topic>Penile Neoplasms - surgery</topic><topic>Penis</topic><topic>Penis - injuries</topic><topic>Penis - surgery</topic><topic>Plastic surgery</topic><topic>Reconstructive surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>review-article</topic><topic>Risk factors</topic><topic>Skin & tissue grafts</topic><topic>Surgery, Plastic</topic><topic>Surgical techniques</topic><topic>Trauma</topic><topic>Urologic Surgical Procedures, Male - methods</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ralph, David J</creatorcontrib><creatorcontrib>Summerton, Duncan J</creatorcontrib><creatorcontrib>Campbell, Alistair</creatorcontrib><creatorcontrib>Minhas, Suks</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Nature clinical practice urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ralph, David J</au><au>Summerton, Duncan J</au><au>Campbell, Alistair</au><au>Minhas, Suks</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstructive surgery in penile trauma and cancer</atitle><jtitle>Nature clinical practice urology</jtitle><stitle>Nat Rev Urol</stitle><addtitle>Nat Clin Pract Urol</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>2</volume><issue>8</issue><spage>391</spage><epage>397</epage><pages>391-397</pages><issn>1743-4270</issn><issn>1759-4812</issn><eissn>1743-4289</eissn><eissn>1759-4820</eissn><abstract>Penile reconstructive surgery requires expertise in genital surgery, whether it is for traumatic injuries or penile cancer. The stages of initial assessment and management of traumatic penile injuries and penile cancer, and the different reconstructive techniques available, are described in this review by David Ralph and colleagues.
This article provides an overview of the current concepts in reconstructive surgery following penile trauma, penile fracture and penile cancer. It covers the initial management of penile trauma, with the aim of preservation of as much viable tissue as is practical, and also provides advice on dealing with penile avulsion and amputation injuries. The best treatment for penile fracture—immediate surgical exploration and repair—is outlined and discussed. Finally, penile cancer management is reviewed, from initial biopsy to definitive treatment of the penile lesion—including wide excision, partial glansectomy, total glansectomy, and partial and total penectomy. It is concluded that appropriate surgery in all these conditions reduces subsequent long-term problems in sexual function, cosmesis, psychology, and (in cancer cases) longevity. The same reconstructive techniques can be applied for different penile conditions, and it is suggested that surgeons become experienced in genital surgery as a whole, rather than in oncology or trauma alone.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>16474736</pmid><doi>10.1038/ncpuro0261</doi><tpages>7</tpages></addata></record> |
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subjects | Amputation Care and treatment Catheters Clinical medicine Diagnosis Genital cancers Health aspects Humans Injuries Male Medicine Medicine & Public Health Patient outcomes Penile cancer Penile Neoplasms - surgery Penis Penis - injuries Penis - surgery Plastic surgery Reconstructive surgery Reconstructive Surgical Procedures - methods review-article Risk factors Skin & tissue grafts Surgery, Plastic Surgical techniques Trauma Urologic Surgical Procedures, Male - methods Urology |
title | Reconstructive surgery in penile trauma and cancer |
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