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Parachute technique for partial penectomy.
MedLine Citation:
PMID:  20450505     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PURPOSE: Penile carcinoma is a rare but mutilating malignancy. In this context, partial penectomy is the most commonly applied approach for best oncological results. We herein propose a simple modification of the classic technique of partial penectomy, for better cosmetic and functional results.
TECHNIQUE: If partial penectomy is indicated, the present technique can bring additional benefits. Different from classical technique, the urethra is spatulated only ventrally. An inverted "V" skin flap with 0.5 cm of extension is sectioned ventrally. The suture is performed with vicryl 4-0 in a "parachute" fashion, beginning from the ventral portion of the urethra and the "V" flap, followed by the "V" flap angles and than by the dorsal portion of the penis. After completion of the suture, a Foley catheter and light dressing are placed for 24 hours.
CONCLUSIONS: Several complex reconstructive techniques have been previously proposed, but normally require specific surgical abilities, adequate patient selection and staged procedures. We believe that these reconstructive techniques are very useful in some specific subsets of patients. However, the technique herein proposed is a simple alternative that can be applied to all men after a partial penectomy, and takes the same amount of time as that in the classic technique. In conclusion, the "parachute" technique for penile reconstruction after partial amputation not only improves the appearance of the penis, but also maintains an adequate function.
Authors:
Fernando Korkes; Oseas C Neves-Neto; Marcelo L Wroclawski; Marcos Tobias-Machado; Antonio C L Pompeo; Eric R Wroclawski
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International braz j urol : official journal of the Brazilian Society of Urology     Volume:  36     ISSN:  1677-6119     ISO Abbreviation:  Int Braz J Urol     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-05-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158091     Medline TA:  Int Braz J Urol     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  198-201; discussion 201     Citation Subset:  IM    
Affiliation:
Division of Urology, ABC Medical School, Sao Paulo, SP, Brazil. fkorkes@terra.com.br
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