The Experts below are selected from a list of 1032 Experts worldwide ranked by ideXlab platform
Carlos Arturo Levi Dancona - One of the best experts on this subject based on the ideXlab platform.
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long term followup of penile carcinoma treated with Penectomy and bilateral modified inguinal lymphadenectomy
The Journal of Urology, 2004Co-Authors: Carlos Arturo Levi Dancona, Roberto G Lucena, Fernando Augusto De Oliveira Querne, Mario Henrique Tavares Martins, Fernandes Denardi, J Nelson Rodrigues R NettoAbstract:ABSTRACTPurpose:: We evaluated modified inguinal lymphadenectomy in the treatment of penile carcinoma, analyzing the rate of complications compared to complete inguinal lymphadenectomy, the complications in performing lymphadenectomy and Penectomy concomitantly, and the long-term locoregional recurrence rate.Materials and Methods:: A total of 26 patients with squamous cell carcinoma of the penis were clinically assessed, and underwent Penectomy and bilateral modified inguinal lymphadenectomy at the same operative time. Frozen section analysis of lymph nodes was performed and if metastases were detected a complete ipsilateral inguinal dissection was performed.Results:: A total of 52 modified lymphadenectomies were performed. In 10 procedures lymph node metastasis was present. Clinical staging presented false-positive and false-negative rates of 50% and 7.9%, respectively. The complication rate for modified lymphadenectomy was 38.9% and for complete inguinal lymphadenectomy it was 87.5%. Followup ranged fro...
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quality of life after partial Penectomy for penile carcinoma
Urology, 1997Co-Authors: Carlos Arturo Levi Dancona, Neury Jose Botega, Cesar De Moraes, Nivaldo Lavoura, Jane Khater Santos, Nelson Rodrigues NettoAbstract:Abstract Objectives To investigate the impact of partial Penectomy on the quality of life of patients with carcinoma of the penis. Methods Fourteen patients who had undergone partial Penectomy for penile cancer were studied. Their median age was 50.5 years and the median time of follow-up was 1 1.5 months. The quality of life was evaluated in three dimensions: social adjustment, sexuality, and emotional state. The patients underwent a semistructured interview and were asked to complete the Overall Sexual Functioning Questionnaire the Social Problem Questionnaire, the General Health Questionnaire, and the Hospital Anxiety and Depression Scale. Results In 9 (64%) patients, the overall sexual function was normal or slightly decreased. Only 2 (14%) men had precarious or absent sexual function. The masculine self-image and the relationship with their partners remained practically unchanged in all the patients. Sexual interest and satisfaction remained normal or slightly reduced in 9 and 12 patients, respectively. The frequency of sexual intercourse was unchanged or slightly decreased in 9 patients. Three patients had no sexual intercourse after surgery. No significant levels of anxiety and depression were found. Within the areas of living conditions, family life, and interactions with other people, all the patients remained as they were before the surgery. Conclusions Patients who undergo partial Penectomy for penile cancer can maintain the quality of life (in social, psychological and sexual terms) at levels similar to those that existed in the period before surgery
J Nelson Rodrigues R Netto - One of the best experts on this subject based on the ideXlab platform.
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long term followup of penile carcinoma treated with Penectomy and bilateral modified inguinal lymphadenectomy
The Journal of Urology, 2004Co-Authors: Carlos Arturo Levi Dancona, Roberto G Lucena, Fernando Augusto De Oliveira Querne, Mario Henrique Tavares Martins, Fernandes Denardi, J Nelson Rodrigues R NettoAbstract:ABSTRACTPurpose:: We evaluated modified inguinal lymphadenectomy in the treatment of penile carcinoma, analyzing the rate of complications compared to complete inguinal lymphadenectomy, the complications in performing lymphadenectomy and Penectomy concomitantly, and the long-term locoregional recurrence rate.Materials and Methods:: A total of 26 patients with squamous cell carcinoma of the penis were clinically assessed, and underwent Penectomy and bilateral modified inguinal lymphadenectomy at the same operative time. Frozen section analysis of lymph nodes was performed and if metastases were detected a complete ipsilateral inguinal dissection was performed.Results:: A total of 52 modified lymphadenectomies were performed. In 10 procedures lymph node metastasis was present. Clinical staging presented false-positive and false-negative rates of 50% and 7.9%, respectively. The complication rate for modified lymphadenectomy was 38.9% and for complete inguinal lymphadenectomy it was 87.5%. Followup ranged fro...
Asif Muneer - One of the best experts on this subject based on the ideXlab platform.
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management of primary penile tumours partial and total Penectomy
2021Co-Authors: Karl H Pang, Hussain M Alnajjar, Asif MuneerAbstract:Penile cancer (PCa) is a rare disease, and the most common histological subtype is squamous cell carcinoma (SCC). The surgical management of PCa depends on the extent of invasion into deeper penile structures, and penile-preserving options are now the standard of care in specialist centres. Glansectomy can be offered to those with invasive disease confined to the glans penis. However, partial or total Penectomy is recommended for disease involving the corpus cavernosum and urethra (stage T3). This chapter focuses mainly on the technical and oncological and functional outcomes of partial and total Penectomy.
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localized disease types of reconstruction plastic surgery techniques after glans resurfacing glansectomy partial total Penectomy
Current Opinion in Urology, 2020Co-Authors: Hussain M Alnajjar, Karen Randhawa, Asif MuneerAbstract:Purpose of review The aim of this article is to provide an overview of the current literature specific to surgery for localized penile cancer including novel reconstructive techniques.Centralization of penile cancer services in many European countries and in particular the United Kingdom has resulted in an increased proportion of men undergoing organ-sparing surgery (OSS) rather than partial or total Penectomy. In this review, we focus on reconstructive techniques following surgery for the primary penile tumour. Recent findings The widespread adoption of penile preserving techniques in Europe and North America has shown both oncological safety as well as good cosmetic and functional outcomes. Recent evidence has suggested that narrower surgical margins do not affect overall cancer-specific survival or local recurrence rates. Therefore, excellent cosmetic and functional outcomes can be achieved using techniques such as glans resurfacing using split-thickness skin grafts, dorsal or ventral V-Y skin advancement and urethral centralization after partial Penectomy. For patients requiring more radical surgery such as total Penectomy, phallic reconstruction is a suitable option using free flaps or pedicled flaps. Summary The use of OSS has transformed the lives of penile cancer patients who can avoid the significant clinical and psychological consequences of more radical surgical treatments. Careful case selection and preoperative counselling is advised prior to reconstructive techniques. Close postoperative clinical surveillance is necessary for early detection of local recurrence.
Shayegan Bobby - One of the best experts on this subject based on the ideXlab platform.
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Urothelial carcinoma involving the distal penis
Canadian Medical Association, 2026Co-Authors: Dason Shawn, Sheikh Adeel, Wang, Jing Gennie, Tauqir Syeda, Davies, Timothy O., Shayegan BobbyAbstract:Urothelial carcinoma (UC) rarely metastasizes to the penis and skin. We report the case of a 73-year-old man with UC metastases to the corpus spongiosum and dermis of the distal penis. We also review the clinicopathologic characteristics and management options for UC metastasizing to the penis. The patient presented with priapism and edema of the genital region. This follows a 5-year history of urothelial carcinoma in situ that progressed to invasive cancer despite intravesical immunotherapy. Seventeen months prior to presentation, the patient underwent a radical cystectomy with adjuvant chemotherapy. The cystectomy specimen demonstrated a pT4a N2 M0 G3 UC and margins were positive for carcinoma in situ. Follow-up had been negative for recurrence until his presentation with priapism. Incisional biopsy of the glans revealed UC and radical Penectomy was performed with negative margins. The penile specimen demonstrated extensive involvement of the corpus spongiosum by UC with lymphovascular invasion and subepidermal involvement. Three months after Penectomy, the patient presented with inguinal nodal recurrence. Palliative radiotherapy was administered and the patient passed away eight months after surgery
Franklin C Lowe - One of the best experts on this subject based on the ideXlab platform.
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surgical management of ischemic penile gangrene in diabetics with end stage atherosclerosis
The Journal of Urology, 1996Co-Authors: David M Weiner, Franklin C LoweAbstract:AbstractPurpose: We determined whether early surgical intervention for ischemic penile gangrene in diabetics can be successful and limit morbidity.Materials and Methods: A retrospective review was done of 7 diabetic patients with ischemic penile gangrene.Results: Three patients underwent early distal Penectomy without complications. All 4 patients initially observed suffered liquefaction and progression from dry to wet gangrene, and 2 underwent surgery (subtotal Penectomy in 1 and distal Penectomy in 1 who required reoperations for wound complications).Conclusions: With appropriate patient selection, surgical intervention can be successful and provide a better quality of life for those without terminal disease. Delaying intervention will usually require more extensive surgery and increase the risk of wound complications. However, observation is indicated for moribund hospitalized patients.