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Penile-preserving surgery for male distal urethral carcinoma.
- Source :
-
BJU International . Jul2007, Vol. 100 Issue 1, p82-87. 6p. 5 Color Photographs, 1 Diagram, 3 Charts. - Publication Year :
- 2007
-
Abstract
- OBJECTIVE To evaluate medium-term outcome data from patients with distal urethral cancers treated with penile-preserving surgery. PATIENTS AND METHODS We analysed prospectively 18 consecutive men referred for the management of urethral carcinoma. All had a specialist review in a supra-regional multidisciplinary team meeting, where the histology findings were reviewed by one pathology consultant. Tumours were staged according to the Tumour-Node-Metastasis classification and the patients offered penile-preserving surgery when tumours were limited to the glanular or penile urethra. RESULTS All 18 patients were suitable for penile-preserving surgery; the procedures were: three hypospadias formation with or without topical chemotherapy; four buccal mucosa urethroplasty; three glansectomy and reconstruction; six glansectomy, distal corporectomy, reconstruction and hypospadias formation; two urethrectomy with or with no excision of adjacent tunica albuginea. The mean (median, range) follow-up was 26 (20.5, 9–58) months. There were no local recurrences; four patients with regional nodal disease progressed and of these, two died from metastatic disease, and one died from an unrelated condition. CONCLUSION Medium-term data show that penile-preserving surgery is a feasible treatment for men with distal urethral carcinoma, providing excellent local control without prejudicing survival; a longer follow-up is needed. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 14644096
- Volume :
- 100
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- BJU International
- Publication Type :
- Academic Journal
- Accession number :
- 25276984
- Full Text :
- https://doi.org/10.1111/j.1464-410X.2007.06901.x