Glansectomy for penis cancer with glanse reconstruction using urethral flap and subsequent ligamentotomy

Introduction. Glansectomy is one of the organ-sparing surgeries for localized penile cancer (PC) treatment. Glanuloplasty with urethral flap was made to achieve good cosmetic results. Unfortunately, this method is inevitably leads to micropenia, and therefore penile elongation should be considered as a component of the complex treatment. We have presented the outcomes of this treatment method in patient with PC. Materials and methods. A 33-year-old patient with T1 glans of the penis tumor admitted to St. Luke clinical hospital. Glansectomy with glans reconstruction by urethral flap was performed. Subsequent micropenia was corrected by ligamentotomy with filling of the intervening space with silicone testicular implant as a next step of surgical treatment. Results. The postoperative course was uneventful after both surgeries. The patient was satisfied with the final appearance of his penis. Conclusions. The presented double-step surgical intervention is an effective treatment for PC with excellent cosmetic and functional results.