Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review

Lemme Gustavo Francisco; Rovegno Federico Agustin; Capiel Leandro; Rovegno Agustin Roberto

doi:doi:10.11648/j.jctr.20221002.11

| Peer-Reviewed

Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review

Lemme Gustavo Francisco, Rovegno Federico Agustin, Capiel Leandro, Rovegno Agustin Roberto

Published in Journal of Cancer Treatment and Research (Volume 10, Issue 2)

Received: 21 December 2021 Accepted: 7 January 2022 Published: 9 April 2022

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background: Penile cancer is a rare neoplasm, the most common variety is invasive squamous cell carcinoma or epidermoid carcinoma. Its incidence is very low in developed countries. Partial and radical penectomy has been the gold standard for the treatment of this disease. In recent decades, different reconstructive techniques have been developed with a much lower impact on the quality of life of the patient. Objective: describe a surgical technique to treat premalignant lesions and superficial malignant lesions of the penis, and review of the literature. Method: a description of the surgical technique regarding partial penile reconstruction using a thigh skin graft for the treatment of premalignant lesions and superficial penile cancer was done. The surgery is divided in 6 steps, which includes general preparation, cystoscopy, resection of lesions on the shaft of the penis and scrotum, estimation of graft size and graft taking, preparation and placement of the graft on the shaft of the penis and wound healing, urinary catheter placement and follow-up. Results: this surgery shows a good cosmetic result, without local progression of the underlying disease. Conclusion: Conservative surgical treatment is a possible option in premalignant and malignant penile lesions, as it allows a better quality of life for the patient without affecting overall survival.

Published in	Journal of Cancer Treatment and Research (Volume 10, Issue 2)
DOI	10.11648/j.jctr.20221002.11
Page(s)	13-17
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Penile Cancer, Skin Graft, Squamous Cell Carcinoma, Penile Reconstruction

References

[1]	Palazzo C, Palazzo F, Sosa C, et al. Cáncer de pene: nuestra experiencia en los últimos 7 años. Rev Arg de Urol 2012; 77 (1): (88-93).
[2]	McAninch JW, Lue TF: Smith & Tanagho’s General Urology. In: Genital Tumors, 19th Ed. New York: McGraw-Hill Education. Chapter 2020; p 386 – 90.
[3]	Favorito LA, Nardi AC, Ronalsa M, et al. Epidemiologic study on penile cancer in Brazil. Int Braz J Urol. 2008; 34 (5): 587-93.
[4]	Asociación Argentina de Médicos Residentes de Urología: Cáncer de Pene. Trabajo Multicéntrico. Rev Arg de Urol 2003; 68 (3): 156-60.
[5]	AJCC (American Joint Committee on Cancer): Cancer Staging Manual. 7th ed. Springer-Verlag, New York, 2017.
[6]	Cabanas RM. An approach for the treatment of penile carcinoma. Cancer. 1977; 39 (2): 456-66.
[7]	Romero FR, Romero KR, Mattos MA, et al. Sexual function after partial penectomy for penile cancer. Urology. 2005; 66 (6): 1292-95.
[8]	Maddineni SB, Lau MM, Sangar VK. Identifying the needs of penile cancer sufferers: a systematic review of the quality of life, psychosexual and psychosocial literature in penile cancer. BMC Urol. 2009; 9: 8. Published 2009 Aug 8.
[9]	Kieffer JM, Djajadiningrat RS, van Muilekom EA, et al. Quality of life for patients treated for penile cancer. J Urol. 2014; 192 (4): 1105-10.
[10]	Leijte JA, Kirrander P, Antonini N, et al. Recurrence patterns of squamous cell carcinoma of the penis: recommendations for follow-up based on a two-centre analysis of 700 patients. Eur Urol. 2008; 54 (1): 161-68.
[11]	Baumgarten A, Chipollini J, Yan S, et al. Penile Sparing Surgery for Penile Cancer: A Multicenter International Retrospective Cohort. J Urol. 2018; 199 (5): 1233-37.
[12]	Burnett AL. Penile preserving and reconstructive surgery in the management of penile cancer. Nat Rev Urol. 2016; 13 (5): 249-57.
[13]	Chang TS and Hwang HY (1984) Forearm flap in onestage reconstruction of the penis. Plast Reconstr Surg. 74: 251–58.
[14]	Salgado CJ, Monstrey S, Hoebeke P, et al. Reconstruction of the penis after surgery. Urol Clin North Am. 2010; 37 (3): 379-401.
[15]	Nikolavsky D, Hughes M, Zhao LC. Urologic Complications After Phalloplasty or Metoidioplasty. Clin Plast Surg. 2018; 45 (3): 425-35.
[16]	Tuffaha SH, Cooney DS, Sopko NA, et al. Penile transplantation: an emerging option for genitourinary reconstruction. Transpl Int. 2017; 30 (5): 441-50.
[17]	Palminteri E, Berdondini E, Lazzeri M, et al. Resurfacing and reconstruction of the glans penis. Eur Urol. 2007; 52 (3): 893-98.
[18]	Pack GT and Ariel IM: Treatment of tumors of the penis. In: Treatment of Cancer and Allied Diseases: Tumors of the Male Genitalia and the Urinary System, 2nd ed. New York: Harper and Row 1963; p 15.
[19]	De Souza LJ: Subtotal amputation for carcinoma of the penis with reconstruction of penile stump. Ann R Coll Surg Engl 1976; 58: 398.
[20]	Mazza ON and Cheliz GM: Glanuloplasty with scrotal flap for partial penectomy. J Urol 2001; 166: 887.
[21]	Belinky JJ, Cheliz GM, Graziano CA, et al. Glanuloplasty with urethral flap after partial penectomy. J Urol. 2011; 185 (1): 204-06.

Cite This Article

Plain Text BibTeX RIS

APA Style

Lemme Gustavo Francisco, Rovegno Federico Agustin, Capiel Leandro, Rovegno Agustin Roberto. (2022). Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review. Journal of Cancer Treatment and Research, 10(2), 13-17. https://doi.org/10.11648/j.jctr.20221002.11

Copy | Download

ACS Style

Lemme Gustavo Francisco; Rovegno Federico Agustin; Capiel Leandro; Rovegno Agustin Roberto. Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review. J. Cancer Treat. Res. 2022, 10(2), 13-17. doi: 10.11648/j.jctr.20221002.11

Copy | Download

AMA Style

Lemme Gustavo Francisco, Rovegno Federico Agustin, Capiel Leandro, Rovegno Agustin Roberto. Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review. J Cancer Treat Res. 2022;10(2):13-17. doi: 10.11648/j.jctr.20221002.11

Copy | Download

@article{10.11648/j.jctr.20221002.11,
  author = {Lemme Gustavo Francisco and Rovegno Federico Agustin and Capiel Leandro and Rovegno Agustin Roberto},
  title = {Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review},
  journal = {Journal of Cancer Treatment and Research},
  volume = {10},
  number = {2},
  pages = {13-17},
  doi = {10.11648/j.jctr.20221002.11},
  url = {https://doi.org/10.11648/j.jctr.20221002.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20221002.11},
  abstract = {Background: Penile cancer is a rare neoplasm, the most common variety is invasive squamous cell carcinoma or epidermoid carcinoma. Its incidence is very low in developed countries. Partial and radical penectomy has been the gold standard for the treatment of this disease. In recent decades, different reconstructive techniques have been developed with a much lower impact on the quality of life of the patient. Objective: describe a surgical technique to treat premalignant lesions and superficial malignant lesions of the penis, and review of the literature. Method: a description of the surgical technique regarding partial penile reconstruction using a thigh skin graft for the treatment of premalignant lesions and superficial penile cancer was done. The surgery is divided in 6 steps, which includes general preparation, cystoscopy, resection of lesions on the shaft of the penis and scrotum, estimation of graft size and graft taking, preparation and placement of the graft on the shaft of the penis and wound healing, urinary catheter placement and follow-up. Results: this surgery shows a good cosmetic result, without local progression of the underlying disease. Conclusion: Conservative surgical treatment is a possible option in premalignant and malignant penile lesions, as it allows a better quality of life for the patient without affecting overall survival.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review
AU  - Lemme Gustavo Francisco
AU  - Rovegno Federico Agustin
AU  - Capiel Leandro
AU  - Rovegno Agustin Roberto
Y1  - 2022/04/09
PY  - 2022
N1  - https://doi.org/10.11648/j.jctr.20221002.11
DO  - 10.11648/j.jctr.20221002.11
T2  - Journal of Cancer Treatment and Research
JF  - Journal of Cancer Treatment and Research
JO  - Journal of Cancer Treatment and Research
SP  - 13
EP  - 17
PB  - Science Publishing Group
SN  - 2376-7790
UR  - https://doi.org/10.11648/j.jctr.20221002.11
AB  - Background: Penile cancer is a rare neoplasm, the most common variety is invasive squamous cell carcinoma or epidermoid carcinoma. Its incidence is very low in developed countries. Partial and radical penectomy has been the gold standard for the treatment of this disease. In recent decades, different reconstructive techniques have been developed with a much lower impact on the quality of life of the patient. Objective: describe a surgical technique to treat premalignant lesions and superficial malignant lesions of the penis, and review of the literature. Method: a description of the surgical technique regarding partial penile reconstruction using a thigh skin graft for the treatment of premalignant lesions and superficial penile cancer was done. The surgery is divided in 6 steps, which includes general preparation, cystoscopy, resection of lesions on the shaft of the penis and scrotum, estimation of graft size and graft taking, preparation and placement of the graft on the shaft of the penis and wound healing, urinary catheter placement and follow-up. Results: this surgery shows a good cosmetic result, without local progression of the underlying disease. Conclusion: Conservative surgical treatment is a possible option in premalignant and malignant penile lesions, as it allows a better quality of life for the patient without affecting overall survival.
VL  - 10
IS  - 2
ER  -

Copy | Download

Author Information

Lemme Gustavo Francisco

Urology Section, Department of Surgery, CEMIC (Center for Medical Education and Clinical Research "Norberto Quirno"), Autonomous City of Buenos Aires, Argentina
Rovegno Federico Agustin

Urology Section, Department of Surgery, CEMIC (Center for Medical Education and Clinical Research "Norberto Quirno"), Autonomous City of Buenos Aires, Argentina
Capiel Leandro

Urology Section, Department of Surgery, CEMIC (Center for Medical Education and Clinical Research "Norberto Quirno"), Autonomous City of Buenos Aires, Argentina
Rovegno Agustin Roberto

Urology Section, Department of Surgery, CEMIC (Center for Medical Education and Clinical Research "Norberto Quirno"), Autonomous City of Buenos Aires, Argentina

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Lemme Gustavo Francisco, Rovegno Federico Agustin, Capiel Leandro, Rovegno Agustin Roberto. (2022). Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review. Journal of Cancer Treatment and Research, 10(2), 13-17. https://doi.org/10.11648/j.jctr.20221002.11

Copy | Download

ACS Style

Lemme Gustavo Francisco; Rovegno Federico Agustin; Capiel Leandro; Rovegno Agustin Roberto. Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review. J. Cancer Treat. Res. 2022, 10(2), 13-17. doi: 10.11648/j.jctr.20221002.11

Copy | Download

AMA Style

Lemme Gustavo Francisco, Rovegno Federico Agustin, Capiel Leandro, Rovegno Agustin Roberto. Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review. J Cancer Treat Res. 2022;10(2):13-17. doi: 10.11648/j.jctr.20221002.11

Copy | Download

@article{10.11648/j.jctr.20221002.11,
  author = {Lemme Gustavo Francisco and Rovegno Federico Agustin and Capiel Leandro and Rovegno Agustin Roberto},
  title = {Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review},
  journal = {Journal of Cancer Treatment and Research},
  volume = {10},
  number = {2},
  pages = {13-17},
  doi = {10.11648/j.jctr.20221002.11},
  url = {https://doi.org/10.11648/j.jctr.20221002.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20221002.11},
  abstract = {Background: Penile cancer is a rare neoplasm, the most common variety is invasive squamous cell carcinoma or epidermoid carcinoma. Its incidence is very low in developed countries. Partial and radical penectomy has been the gold standard for the treatment of this disease. In recent decades, different reconstructive techniques have been developed with a much lower impact on the quality of life of the patient. Objective: describe a surgical technique to treat premalignant lesions and superficial malignant lesions of the penis, and review of the literature. Method: a description of the surgical technique regarding partial penile reconstruction using a thigh skin graft for the treatment of premalignant lesions and superficial penile cancer was done. The surgery is divided in 6 steps, which includes general preparation, cystoscopy, resection of lesions on the shaft of the penis and scrotum, estimation of graft size and graft taking, preparation and placement of the graft on the shaft of the penis and wound healing, urinary catheter placement and follow-up. Results: this surgery shows a good cosmetic result, without local progression of the underlying disease. Conclusion: Conservative surgical treatment is a possible option in premalignant and malignant penile lesions, as it allows a better quality of life for the patient without affecting overall survival.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Partial Reconstruction with Thigh Skin Graft for Penile Cancer: Case Presentation, Description of Surgical Technique and Literature Review
AU  - Lemme Gustavo Francisco
AU  - Rovegno Federico Agustin
AU  - Capiel Leandro
AU  - Rovegno Agustin Roberto
Y1  - 2022/04/09
PY  - 2022
N1  - https://doi.org/10.11648/j.jctr.20221002.11
DO  - 10.11648/j.jctr.20221002.11
T2  - Journal of Cancer Treatment and Research
JF  - Journal of Cancer Treatment and Research
JO  - Journal of Cancer Treatment and Research
SP  - 13
EP  - 17
PB  - Science Publishing Group
SN  - 2376-7790
UR  - https://doi.org/10.11648/j.jctr.20221002.11
AB  - Background: Penile cancer is a rare neoplasm, the most common variety is invasive squamous cell carcinoma or epidermoid carcinoma. Its incidence is very low in developed countries. Partial and radical penectomy has been the gold standard for the treatment of this disease. In recent decades, different reconstructive techniques have been developed with a much lower impact on the quality of life of the patient. Objective: describe a surgical technique to treat premalignant lesions and superficial malignant lesions of the penis, and review of the literature. Method: a description of the surgical technique regarding partial penile reconstruction using a thigh skin graft for the treatment of premalignant lesions and superficial penile cancer was done. The surgery is divided in 6 steps, which includes general preparation, cystoscopy, resection of lesions on the shaft of the penis and scrotum, estimation of graft size and graft taking, preparation and placement of the graft on the shaft of the penis and wound healing, urinary catheter placement and follow-up. Results: this surgery shows a good cosmetic result, without local progression of the underlying disease. Conclusion: Conservative surgical treatment is a possible option in premalignant and malignant penile lesions, as it allows a better quality of life for the patient without affecting overall survival.
VL  - 10
IS  - 2
ER  -

Copy | Download