Open Access

ARTICLE

Comparing functional outcomes of glansectomy with or without glans reconstruction

Mihály Murányi^1,*, András Domoszlai¹, Attila Csaba Nagy², Tibor Flaskó¹

1 Department of Urology, University of Debrecen, Debrecen, 4032, Hungary
2 Department of Health Informatics, University of Debrecen, Debrecen, 4032, Hungary

* Corresponding Author: Mihály Murányi. Email:

Canadian Journal of Urology 2025, 32(2), 119-127. https://doi.org/10.32604/cju.2025.063821

Received 24 January 2025; Accepted 16 April 2025; Issue published 30 April 2025

Abstract

Introduction: We aimed to compare the oncological and functional outcomes of glansectomy and split-thickness skin graft reconstruction (GR) with those of glansectomy alone (GA) and penile amputation (PA). Materials and Methods: This retrospective study included patients with penile carcinoma or penile intraepithelial neoplasia diagnosed between 2017 and 2022. Surgical outcomes, complications, and oncological outcomes were assessed through a chart review, and functional outcomes were assessed using a questionnaire administered to patients who underwent GR (group A), GA (group B), or PA (group C). Results: Six, eight, and seven patients were enrolled in groups A, B, and C, respectively. Their complication rates were 0%, 25%, and 29%, respectively; margin positivity rates were 17%, 13%, and 0%, respectively; and local recurrence rates were 0%, 0%, and 14%, respectively. Logistic regression analysis showed that being in group A rather than C was a significant predictor of favorable erectile function (p = 0.007) and cosmetic outcomes (p = 0.030). However, being in group A rather than B was not a significant predictor of favorable erectile function (p = 0.127) or cosmetic outcomes (p = 0.638). Conclusion: Excellent functional results were observed after GR; however, the benefits were significant only when compared with those of amputation.

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Keywords

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