Your browser doesn't support javascript.
loading
Parachute technique for partial penectomy
Korkes, Fernando; Neves-Neto, Oseas C; Wroclawski, Marcelo L; Tobias-Machado, Marcos; Pompeo, Antonio C. L; Wroclawski, Eric R.
Afiliação
  • Korkes, Fernando; ABC Medical School. Division of Urology. Sao Paulo. BR
  • Neves-Neto, Oseas C; ABC Medical School. Division of Urology. Sao Paulo. BR
  • Wroclawski, Marcelo L; ABC Medical School. Division of Urology. Sao Paulo. BR
  • Tobias-Machado, Marcos; ABC Medical School. Division of Urology. Sao Paulo. BR
  • Pompeo, Antonio C. L; ABC Medical School. Division of Urology. Sao Paulo. BR
  • Wroclawski, Eric R; ABC Medical School. Division of Urology. Sao Paulo. BR
Int. braz. j. urol ; 36(2): 198-201, Mar.-Apr. 2010. ilus
Artigo em Inglês | LILACS | ID: lil-548380
Biblioteca responsável: BR1.1
ABSTRACT

PURPOSE:

Penile carcinoma is a rare but mutilating malignancy. In this context, partial penectomy is the most commonly applied approach for best oncological results. We herein propose a simple modification of the classic technique of partial penectomy, for better cosmetic and functional results. TECHNIQUE If partial penectomy is indicated, the present technique can bring additional benefits. Different from classical technique, the urethra is spatulated only ventrally. An inverted "V" skin flap with 0.5 cm of extension is sectioned ventrally. The suture is performed with vicryl 4-0 in a "parachute" fashion, beginning from the ventral portion of the urethra and the "V" flap, followed by the "V" flap angles and than by the dorsal portion of the penis. After completion of the suture, a Foley catheter and light dressing are placed for 24 hours.

CONCLUSIONS:

Several complex reconstructive techniques have been previously proposed, but normally require specific surgical abilities, adequate patient selection and staged procedures. We believe that these reconstructive techniques are very useful in some specific subsets of patients. However, the technique herein proposed is a simple alternative that can be applied to all men after a partial penectomy, and takes the same amount of time as that in the classic technique. In conclusion, the "parachute" technique for penile reconstruction after partial amputation not only improves the appearance of the penis, but also maintains an adequate function.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Neoplasias Penianas / Pênis / Procedimentos Cirúrgicos Urológicos Masculinos / Carcinoma Limite: Humanos / Masculino Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2010 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: ABC Medical School/BR

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Neoplasias Penianas / Pênis / Procedimentos Cirúrgicos Urológicos Masculinos / Carcinoma Limite: Humanos / Masculino Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2010 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: ABC Medical School/BR
...