Hospital General de Agudos Carlos G. Durand. Buenos Aires, Argentina.
J Urol. 2011 Jan;185(1):204-6. doi: 10.1016/j.juro.2010.09.010. Epub 2010 Nov 13.
We describe a surgical technique to reconstruct the glans secondary to partial penectomy or traumatic partial amputation as well as its complications. We assessed urethral flap vitality and the tumor recurrence rate using this technique.
Glanuloplasty with a urethral flap was done in 10 patients who underwent partial penectomy for penile squamous cell carcinoma. We reconstructed the neoglans with a urethral flap at the same surgical resection. Mean patient age was 61 years (range 18 to 71). Mean followup was 11 months (range 5 to 17).
We noted no neomeatal stenosis or flap necrosis secondary to the technique. The early tumor recurrence rate was 10% and the penile curvature rate was 10%. Penile curvature was ventral with no associated penetration difficulty.
This simple, reproducible technique has satisfactory functional and cosmetic results, and an acceptable complication rate for this type of pathological condition.
我们描述了一种重建部分阴茎切除术或创伤性部分切断术后龟头的手术技术及其并发症。我们使用该技术评估尿道瓣的活力和肿瘤复发率。
10 例因阴茎鳞状细胞癌而行部分阴茎切除术的患者采用尿道瓣龟头成形术。我们在同一手术切除时用尿道瓣重建新龟头。患者平均年龄为 61 岁（18-71 岁）。平均随访 11 个月（5-17 个月）。
我们注意到该技术没有出现新尿道口狭窄或瓣坏死。早期肿瘤复发率为 10%，阴茎弯曲率为 10%。阴茎弯曲为腹侧，无相关穿透困难。
对于这种病理情况，这种简单、可重复的技术具有令人满意的功能和美容效果，且并发症发生率可接受。
