Penile reconstruction in the male
Identifieur interne : 004908 ( Pmc/Curation ); précédent : 004907; suivant : 004909Penile reconstruction in the male
Auteurs : Giulio Garaffa [Royaume-Uni] ; Vincenzo Gentile [Italie] ; Gabriele Antonini [Italie] ; Petros Tsafrakidis [Royaume-Uni] ; Amr Abdel Raheem [Royaume-Uni] ; David J. Ralph [Royaume-Uni]Source :
- Arab Journal of Urology [ 2090-598X ] ; 2013.
Abstract
We describe and review the most recent techniques of male genital reconstruction, identifying relevant material with an unstructured PubMed-based search of previous reports, using the keywords ‘reconstruction’, ‘glans’, ‘shaft’, ‘lymphoedema’, ‘skin graft’, ‘scrotoplasty’, ‘urethroplasty’, and ‘penile prosthesis’. This search produced 22 reports that were analysed in this review. Split-thickness skin grafts are ideal for glans reconstruction, while full-thickness skin grafts should be used to cover defects on the shaft penis, as they tend to heal with less contracture. The radial artery-based free-flap phalloplasty is the technique of total phallic reconstruction associated with the highest satisfaction rates. Further research is required to identify an ideal reconstructive technique that would guarantee superior cosmetic and functional results, minimising donor site morbidity.
Url:
DOI: 10.1016/j.aju.2013.04.003
PubMed: 26558091
PubMed Central: 4443016
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<front><div type="abstract" xml:lang="en"><p>We describe and review the most recent techniques of male genital reconstruction, identifying relevant material with an unstructured PubMed-based search of previous reports, using the keywords ‘reconstruction’, ‘glans’, ‘shaft’, ‘lymphoedema’, ‘skin graft’, ‘scrotoplasty’, ‘urethroplasty’, and ‘penile prosthesis’. This search produced 22 reports that were analysed in this review. Split-thickness skin grafts are ideal for glans reconstruction, while full-thickness skin grafts should be used to cover defects on the shaft penis, as they tend to heal with less contracture. The radial artery-based free-flap phalloplasty is the technique of total phallic reconstruction associated with the highest satisfaction rates. Further research is required to identify an ideal reconstructive technique that would guarantee superior cosmetic and functional results, minimising donor site morbidity.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Arab J Urol</journal-id>
<journal-id journal-id-type="iso-abbrev">Arab J Urol</journal-id>
<journal-title-group><journal-title>Arab Journal of Urology</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-598X</issn>
<issn pub-type="epub">2090-5998</issn>
<publisher><publisher-name>Elsevier</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26558091</article-id>
<article-id pub-id-type="pmc">4443016</article-id>
<article-id pub-id-type="publisher-id">S2090-598X(13)00040-5</article-id>
<article-id pub-id-type="doi">10.1016/j.aju.2013.04.003</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>Penile reconstruction in the male</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Garaffa</surname>
<given-names>Giulio</given-names>
</name>
<email>giuliogaraffa@gmail.com</email>
<xref rid="af020" ref-type="aff">a</xref>
<xref rid="af025" ref-type="aff">b</xref>
<xref rid="af030" ref-type="aff">c</xref>
<xref rid="cor1" ref-type="corresp">⁎</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gentile</surname>
<given-names>Vincenzo</given-names>
</name>
<xref rid="af035" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Antonini</surname>
<given-names>Gabriele</given-names>
</name>
<xref rid="af035" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tsafrakidis</surname>
<given-names>Petros</given-names>
</name>
<xref rid="af025" ref-type="aff">b</xref>
<xref rid="af030" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Raheem</surname>
<given-names>Amr Abdel</given-names>
</name>
<xref rid="af020" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ralph</surname>
<given-names>David J.</given-names>
</name>
<xref rid="af020" ref-type="aff">a</xref>
</contrib>
</contrib-group>
<aff id="af020"><label>a</label>
St Peter’s Andrology, University College London Hospitals, London, UK</aff>
<aff id="af025"><label>b</label>
Department of Urology, Broomfield Hospital, Chelmsford, UK</aff>
<aff id="af030"><label>c</label>
Whipps Cross University Hospital, London, UK</aff>
<aff id="af035"><label>d</label>
Department of Urology, University “La Sapienza”, Rome, Italy</aff>
<author-notes><corresp id="cor1"><label>⁎</label>
Corresponding author. Address: St Peter’s Andrology, 145 Harley Street, W1G 6BJ, London, UK. Tel.: +44 7983477939. <email>giuliogaraffa@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>12</day>
<month>6</month>
<year>2013</year>
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<pub-date pub-type="ppub"><month>9</month>
<year>2013</year>
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<pub-date pub-type="epub"><day>12</day>
<month>6</month>
<year>2013</year>
</pub-date>
<volume>11</volume>
<issue>3</issue>
<fpage>267</fpage>
<lpage>271</lpage>
<history><date date-type="received"><day>21</day>
<month>3</month>
<year>2013</year>
</date>
<date date-type="rev-recd"><day>3</day>
<month>4</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>7</day>
<month>4</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>© 2013 Production and hosting by Elsevier B.V. on behalf of Arab Association of Urology.</copyright-statement>
<copyright-year>2013</copyright-year>
<copyright-holder></copyright-holder>
<license license-type="CC BY-NC-ND" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><license-p>This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).</license-p>
</license>
</permissions>
<abstract><p>We describe and review the most recent techniques of male genital reconstruction, identifying relevant material with an unstructured PubMed-based search of previous reports, using the keywords ‘reconstruction’, ‘glans’, ‘shaft’, ‘lymphoedema’, ‘skin graft’, ‘scrotoplasty’, ‘urethroplasty’, and ‘penile prosthesis’. This search produced 22 reports that were analysed in this review. Split-thickness skin grafts are ideal for glans reconstruction, while full-thickness skin grafts should be used to cover defects on the shaft penis, as they tend to heal with less contracture. The radial artery-based free-flap phalloplasty is the technique of total phallic reconstruction associated with the highest satisfaction rates. Further research is required to identify an ideal reconstructive technique that would guarantee superior cosmetic and functional results, minimising donor site morbidity.</p>
</abstract>
<kwd-group><title>Abbreviations</title>
<kwd>RAFF, radial artery-based forearm free flap</kwd>
<kwd>STSG, split-thickness skin graft</kwd>
</kwd-group>
<kwd-group><title>Keywords</title>
<kwd>Glans reconstruction</kwd>
<kwd>Shaft</kwd>
<kwd>Lymphoedema</kwd>
<kwd>Genitalia</kwd>
<kwd>Scrotoplasty</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="f0005"><label>Figure 1</label>
<caption><p>The final result of total phallic reconstruction with the use of the RAFF.</p>
</caption>
<graphic xlink:href="gr1"></graphic>
</fig>
<table-wrap id="t0005" position="float"><label>Table 1</label>
<caption><p>Surgical procedures that require a partial or complete excision of the glans penis, and their indications.</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th>Procedure</th>
<th>Indication</th>
</tr>
</thead>
<tbody><tr><td>Glans resurfacing</td>
<td>Lichen sclerosus or carcinoma <italic>in situ</italic>
of the glans penis</td>
</tr>
<tr><td>Partial glansectomy</td>
<td>Carcinoma of the penis affecting the glans</td>
</tr>
<tr><td>Total glansectomy</td>
<td>Carcinoma of the penis affecting the glans</td>
</tr>
<tr><td>Distal corporectomy</td>
<td>Carcinoma of the penis affecting the glans and infiltrating the distal aspect of the corpora cavernosa</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
</record>
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