Abstract
Penile reconstruction following cancer resection has long been a challenge due to demand for both aesthetic and functional preservation. Although various methods have attempted to achieve both goals, none have succeeded entirely. In this report, we introduce a novel reconstructive technique on a 64-year-old patient with squamous cell carcinoma of the glans penis. The technique consisted of two staged procedures. First, a dermal substitute, consisting of bovine collagen, was sutured onto the defect after partial glansectomy and three weeks later, the integrated dermis was covered with autologous non-meshed partial thickness skin graft. Use of this dermal substitute in a staged fashion allowed for ability to await final pathologic margins prior to definitive reconstruction and increased dermal thickness. After 9-month follow-up, sexual function returned within 3 months and the patient remained healed. We found this technique to be useful in concurrently preserving penile function and cosmesis. Future studies should include more patients and longer follow-up.
Highlights
In recent years there has been increasing emphasis placed on maintenance of appearance and function in the surgical management of penile cancers
We introduce a novel reconstructive technique on a 64-year-old patient with squamous cell carcinoma of the glans penis
A dermal substitute, consisting of bovine collagen, was sutured onto the defect after partial glansectomy and three weeks later, the integrated dermis was covered with autologous non-meshed partial thickness skin graft
Summary
In recent years there has been increasing emphasis placed on maintenance of appearance and function in the surgical management of penile cancers. This shift has involved efforts to both limit the amount of non-malignant tissue removed, and to reconstruct the penis as accurately as possible after resection. We describe a novel technique using Integra (Integra Life Sciences, Plainsboro, NJ, USA), a bilayer matrix wound dressing. This method was used in a patient with squamous cell carcinoma in situ limited to the glans. After nine months of follow-up, it appears to provide excellent cosmesis and preservation of function
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