Abstract
Authors
C. Redondo, L. Cuellar, N. Sierrasesumaga, F. Castroviejo, A. Herranz, J. Calleja
Key Words
Neoglands, Penile cancer, Penile reconstruction
Description
This academic video presents a step-by-step glansectomy technique for early-stage penile cancer confined to the glans, followed by neoglans reconstruction using a free skin graft. Key indications include T1B–T2 squamous cell carcinoma without invasion of the corpora cavernosa.
The procedure involves:
- Circumferential subcoronal incision and penile degloving
- Urethral preservation and mobilisation
- Excision of the glans with oncologic margins
- Repositioning and fixation of the urethra to the distal corpora
- Harvesting and tailoring of a split-thickness skin graft
- Precise graft fixation to the neoglans
- Compressive dressing and structured follow-up
The technique ensures oncologic safety, aesthetic restoration, and functional preservation. This video offers a reproducible, organ-sparing alternative for penile cancer management, ideal for urologists seeking advanced reconstructive strategies.
Acknowledgements
None.
Disclosures
None.
References
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