The Canadian journal of urology · 2025
Comparing functional outcomes of glansectomy with or without glans reconstruction.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Murányi Mihály, Domoszlai András, Nagy Attila Csaba, Flaskó Tibor
Аннотация
INTRODUCTION: We aimed to compare the oncological and functional outcomes of glansectomy and split-thickness skin graft reconstruction (GR) with those of glansectomy alone (GA) and penile amputation (PA).
MATERIALS AND METHODS: This retrospective study included patients with penile carcinoma or penile intraepithelial neoplasia diagnosed between 2017 and 2022. Surgical outcomes, complications, and oncological outcomes were assessed through a chart review, and functional outcomes were assessed using a questionnaire administered to patients who underwent GR (group A), GA (group B), or PA (group C).
RESULTS: Six, eight, and seven patients were enrolled in groups A, B, and C, respectively. Their complication rates were 0%, 25%, and 29%, respectively; margin positivity rates were 17%, 13%, and 0%, respectively; and local recurrence rates were 0%, 0%, and 14%, respectively. Logistic regression analysis showed that being in group A rather than C was a significant predictor of favorable erectile function (p = 0.007) and cosmetic outcomes (p = 0.030). However, being in group A rather than B was not a significant predictor of favorable erectile function (p = 0.127) or cosmetic outcomes (p = 0.638).
CONCLUSION: Excellent functional results were observed after GR; however, the benefits were significant only when compared with those of amputation.
MATERIALS AND METHODS: This retrospective study included patients with penile carcinoma or penile intraepithelial neoplasia diagnosed between 2017 and 2022. Surgical outcomes, complications, and oncological outcomes were assessed through a chart review, and functional outcomes were assessed using a questionnaire administered to patients who underwent GR (group A), GA (group B), or PA (group C).
RESULTS: Six, eight, and seven patients were enrolled in groups A, B, and C, respectively. Their complication rates were 0%, 25%, and 29%, respectively; margin positivity rates were 17%, 13%, and 0%, respectively; and local recurrence rates were 0%, 0%, and 14%, respectively. Logistic regression analysis showed that being in group A rather than C was a significant predictor of favorable erectile function (p = 0.007) and cosmetic outcomes (p = 0.030). However, being in group A rather than B was not a significant predictor of favorable erectile function (p = 0.127) or cosmetic outcomes (p = 0.638).
CONCLUSION: Excellent functional results were observed after GR; however, the benefits were significant only when compared with those of amputation.