Kranz J, Parnham A, Albersen M, Sahdev V, Ziada M, Nigam R, Muneer A, Steffens J, Malone P
St. Antonius Hospital, Akademisches Lehrkrankenhaus der RWTH Aachen, Dechant-Deckers-Straße 8, 52249, Eschweiler, Deutschland.
Department of Urology, University College London Hospitals NHS Foundation Trust, London, Großbritannien.
Urologe A. 2017 Oct;56(10):1293-1297. doi: 10.1007/s00120-017-0478-1.
The management of penile cancer has altered dramatically over the last decade. Confidence to excise lesions safely with smaller margins has led to the adoption of penile-preserving techniques and in turn improved the functional and cosmetic results. Patients undergoing partial penectomy (PP) find that the urethral meatus is located in an abnormal ventral position. In addition, there is a high risk of meatal stenosis. We describe our novel technique that allows the urethral meatus to be centralised after PP and creation of a pseudo-glans and wide meatus and therefore maintain the cosmetic appearance of the penis after split thickness skin grafting. The UCAPP technique allows the restoration of the normal meatal location and creation of a pseudo-glans in case of partial penectomy and therefore can improve the overall cosmetic appearance and reduce the psychological morbidity.
在过去十年中，阴茎癌的治疗方式发生了巨大变化。有信心以更小的切缘安全切除病变，促使采用保留阴茎的技术，进而改善了功能和外观效果。接受部分阴茎切除术（PP）的患者发现尿道口位于异常的腹侧位置。此外，尿道口狭窄的风险很高。我们描述了一种新技术，该技术可在PP术后使尿道口居中，并形成假龟头和宽尿道口，从而在进行中厚皮片移植后保持阴茎的外观。UCAPP技术可在部分阴茎切除术后恢复尿道口的正常位置并形成假龟头，因此可以改善整体外观并降低心理发病率。
