Advances in Surgical Reconstructive Techniques in the Management of Penile, Urethral, and Scrotal Cancer

Michael Bickell; Jonathan Beilan; Jared Wallen; Lucas Wiegand; Rafael Carrion

doi:10.1016/j.ucl.2016.06.015

Advances in Surgical Reconstructive Techniques in the Management of Penile, Urethral, and Scrotal Cancer

Urol Clin North Am. 2016 Nov;43(4):545-559. doi: 10.1016/j.ucl.2016.06.015.

Authors

Michael Bickell¹, Jonathan Beilan¹, Jared Wallen¹, Lucas Wiegand¹, Rafael Carrion²

Affiliations

¹ Department of Urology, University of South Florida, Tampa, FL, USA.
² Department of Urology, University of South Florida, Tampa, FL, USA. Electronic address: rcarrion@health.usf.edu.

PMID: 27717440
DOI: 10.1016/j.ucl.2016.06.015

Abstract

This article reviews the most up-to-date surgical treatment options for the reconstructive management of patients with penile, urethral, and scrotal cancer. Each organ system is examined individually. Techniques and discussion for penile cancer reconstruction include Mohs surgery, glans resurfacing, partial and total glansectomy, and phalloplasty. Included in the penile cancer reconstruction section is the use of penile prosthesis in phalloplasty patients after penectomy, tissue engineering in phallic regeneration, and penile transplantation. Reconstruction following treatment of primary urethral carcinoma and current techniques for scrotal cancer reconstruction using split-thickness skin grafts and flaps are described.

Keywords: Cancer; Flap; Penis; Reconstruction; Scrotum; Urethra.

Publication types

Review

MeSH terms

Disease Management
Genital Neoplasms, Male / surgery*
Humans
Male
Penile Neoplasms / surgery
Penis / surgery*
Plastic Surgery Procedures / methods*
Scrotum / surgery*
Urethra / surgery*
Urethral Neoplasms / surgery*
Urologic Surgical Procedures, Male / methods*