Resurfacing of the Glans Penis.
Resurfacing of the
Glans Penis.
AUA (American Urological Association)
E. Palminteri, E. Berdondini.
Center for Urethral and Genitalia
Reconstructive Surgery, Arezzo.
Introduction
The Video describes the technique of
the glans skinning and resurfacing.
Materials and Methods
Severe Zoon balanitis with
impediment to the sexual activity in patient 59 years old.
Phase of glans skinning: the
glans is divided in 2 hemispheric marked areas. Circumcision and degloving.
Starting around the meatus, we find the dissection plane between epithelium and
glans spongiosum: glans epithelium is removed until the corona. The prepuce is
sutured under the sulcus.
Phase of the glans resurfacing: a split thickness skin graft is harvested from
the thigh by dermatome and transplanted like an umbrella-shape on the bed of
the stripped glans. The graft is quilted over the glans with 6-0 interrupted
stitches. Stitches to fix the graft to the prepuce and to recreate the sulcus. The
graft is fixed to the meatal mucosa. The skin is tailored to create the
original glandular shape.
Results
After 6 months, the glandular
aesthetic aspect is satisfied. The chronic inflammation and pain are vanished
and the patient recovered the sexual activity.
Conclusions
In selected cases of benign, premalignant
or malignant glandular lesions, the glans resurfacing represents an
organ-sparing surgery that assures normal and functional appearing penis.
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