Glans-Preserving Surgery for Superficial Penile Cancer

Abstract
In this study, we investigated the safety and feasibility of the glans-preserving surgery for superficial penile squamous-celled carcinoma. Young patients with penile primary tumors exhibiting favorable histologic features were best suited for organ-sparing procedures, enabling them to avoid sexual disturbances. The study included 12 patients, 38 to 53 years of age (median age 46), with superficial lesions involving the glans penis, coronary sulcus or shaft skin. After clinical staging and grading, those patients were offered a glans-preserving procedure to preserve the normal appearance and functional integrity of the glans penis. Of the 12 patients referred, the tumors were TaG1 in 4 patients, TaG2 in 3, TisG1 in 1, TisG2 in 1, T1G1 in 2, and T1G2 in 1. 江苏省人民医院泌尿外科宋宁宏
All patients returned to normal sexual activity 1 month postoperatively. Sexual function and sexual satisfaction were well maintained after operation. The cosmetic results were considered satisfying / very satisfying by 83% (10 of 12 patients). Follow-up data were available on 12 patients at a mean of follow-up of 62.5 months. Only one patient had recurrence 6 months after surgery, which was managed by second glans-preserving surgery without recurrence. With careful patient selection and vigilant follow-up, anatomically suitable superficial penile cancer can be offered this glans-preserving surgery, while preserving impact function of penis wherever possible.
Key words: penile carcinoma, conservative surgery, cosmesis, sexual function