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
Hauptverfasser: Ralph, David J, Summerton, Duncan J, Campbell, Alistair, Minhas, Suks
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container_title Nature clinical practice urology
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creator Ralph, David J
Summerton, Duncan J
Campbell, Alistair
Minhas, Suks
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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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. 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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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