Organ-preserving surgery for penile cancer: description of techniques and surgical outcomes.
BJU Int
; 110(11): 1792-5, 2012 Dec.
Article
em En
| MEDLINE
| ID: mdl-22551234
ABSTRACT
UNLABELLED Study Type--Therapy (case series) Level of Evidence 4. What's known on the subject? and What does the study add? Organ-preserving surgeries for penile cancer have been described to reduce the morbidity associated with traditional operations. Patients derive better functional outcomes from penile-preserving surgery, although local recurrence rates can be higher. Excellent results can be obtained at large-volume centres. With close follow-up, local recurrences can be identified and treated promptly (often with further local excision). OBJECTIVE:
⢠To describe the outcomes of organ-preserving surgery for penile cancer at a UK tertiary referral centre. PATIENTS ANDMETHODS:
⢠Patients at Sunderland Hospital (UK) between 2001 and 2008 who had squamous cell tumours limited to the glans penis underwent penile-preserving surgery including total glansectomy and glanuloplasty, partial glansectomy, glans relining and distal penectomy with glans reconstruction. ⢠Recurrence rates, cosmetic and functional outcomes were recorded.RESULTS:
⢠In all, 65 patients were identified with a median follow-up of 40 months. Local recurrence was present in four patients (6%) despite 72% having intermediate or poorly differentiated tumours and 30% with T2 disease. ⢠Complications included partial graft loss (1.5%), graft contractures (4.5%) and meatal stenosis (7.5%). ⢠In all, 5% were deemed to have poor cosmetic outcome and 85% described good erections at 1 year after surgery.CONCLUSION:
⢠Penile-preserving surgery can achieve good penile cancer control with minimal morbidity and reduced psychosexual side-effects.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Penianas
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Pênis
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Carcinoma in Situ
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Carcinoma de Células Escamosas
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Tratamentos com Preservação do Órgão
Limite:
Adult
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Aged
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Aged80
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
BJU Int
Assunto da revista:
UROLOGIA
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Reino Unido