Abstract
Extramammary Paget's disease (EMPD) confined to the penopubis is not common. It's a pre-malignant skin lesion and has the possibility of distant metastasis. This study described a surgical technique for the treatment of EMPD of the penopubis. Between December, 1999 and March, 2002, three patients with penopubis EMPD was proved by skin biopsy after a long period of multimodality treatment given by the dermatologist and the radiologist. All patient underwent a STSG total resurfacing operation at the whole penopubis following wide local excision with 1cm safety margin. Graft survival was 100 percent. Functional and cosmetic result is excellent. In our experience, there was no penis lymphoedema occurring after proximal penis STSG and no bulk penis resulting from flap reconstruction. All patients were disease free after 1.5 to 3 years follow-up. In conclusion, the STSG total resurfacing of the penopubis EMPD is a valuable option. It carried an excellent appearance, it is technically simple, the functional result is preserved, and it seems devoid the possibility of recurrence of the penile skin.
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