Modified “parachute technique” of partial penectomy: A penile preservation surgery for carcinoma penis

Background: Historically surgery for nodes in carcinoma penis was done as staged procedure due to fear of higher morbidity and longer hospital stay. However, in view of the established safety of the simultaneous procedure, very few centres do simultaneous surgery for nodes and primary in cancer penis.Methods: A retrospective analysis of all the simultaneous surgeries for nodes and primary for carcinoma penis done at our hospital, during the period April 2015 to March 2017 were done and various parameters were calculated and compared with historical standards of various series.Results: The various parameters namely wound morbidity, hospital stay and complications were analysed and compared with historical standards. A total of 15 patients during the above mentioned were found to be suitable for the analysis after having excluded patients who had previous therapy and inoperable tumours. The mean follows up period was 12 months (ranging from 8 to 20 months). The mean hospital stay was 15 days (range from 12 days to 25 days). The skin margin necrosis rate was 6.67%, wound infection rate was 6.67% and there were no perioperative deaths. The same was compared with historical standards.Conclusions: Simultaneous surgery for primary and nodes in carcinoma penis is safe and the standard results are reproducible in a rural tertiary medical centre like ours.

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Role of dynamic sentinel node biopsy in carcinoma penis with or without palpable nodes

Indian Journal of Urology ◽

10.4103/0970-1591.173111 ◽

2016 ◽

Vol 32 (1) ◽

pp. 57 ◽

Cited By ~ 6

Author(s):

N Kathiresan ◽

Anand Raja ◽

KrishnaKumar Ramachandran ◽

Shirley Sundersingh

Keyword(s):

Sentinel Node ◽

Sentinel Node Biopsy ◽

Node Biopsy ◽

Carcinoma Penis ◽

Dynamic Sentinel Node Biopsy

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Squamous Cell Carcinoma Penis in a Case of Urethral Stricture Due to Lichen Sclerosus Balanitis Xerotica Obliterans: A Case Report and Review of Literature

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2017/26330.10254 ◽

2017 ◽

Author(s):

Yogesh Taneja

Keyword(s):

Squamous Cell Carcinoma ◽

Case Report ◽

Cell Carcinoma ◽

Urethral Stricture ◽

Squamous Cell ◽

Lichen Sclerosus ◽

Review Of Literature ◽

Balanitis Xerotica Obliterans ◽

Carcinoma Penis

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Partial Penectomy due to Penile Calciphylaxis

CSurgeries ◽

10.17797/2021081305 ◽

2021 ◽

Author(s):

Craig Smardo

Keyword(s):

Partial Penectomy

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Carcinoma Penis

Gateway to Success in Surgery ◽

10.5005/jp/books/11524_32 ◽

2012 ◽

pp. 262-262

Author(s):

MD Ray

Keyword(s):

Carcinoma Penis

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Classic Kaposi's sarcoma on the glans penis only: Case report

Urologia Journal ◽

10.1177/039156039706400133 ◽

1997 ◽

Vol 64 (1) ◽

pp. 134-135

Author(s):

E. Gastaldi ◽

S. Benvenuti ◽

B. Mennini ◽

M. Iacoviello ◽

M. Caviglione ◽

...

Keyword(s):

Case Report ◽

Kaposi's Sarcoma ◽

Kaposi’S Sarcoma ◽

Positive Patient ◽

Glans Penis ◽

Hiv Positive ◽

Partial Penectomy

The Authors report a case of Kaposi's sarcoma presenting on the glans penis only in a non-HIV positive patient, who had not been treated with immuno-suppressive drugs. In our experience and according to a review of specific literature, choice treatment would seem to be a radiotherapeutic approach followed by partial penectomy in the event of recurrence.

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Is simultaneous surgery for nodes and primary in carcinoma penis safe?

Asian Journal of Oncology ◽

10.4103/2454-6798.209329 ◽

2017 ◽

Vol 03 (01) ◽

pp. 050-053

Author(s):

Senthil Chandrasekhar ◽

Kathiresan Narayanswamy

Keyword(s):

Hospital Stay ◽

Median Hospital Stay ◽

Staged Surgery ◽

Surgery Group ◽

Simultaneous Surgery ◽

Simultaneous Group ◽

The Mean ◽

Carcinoma Penis ◽

Median Hospital

Abstract Introduction: Historically, the combination of primary and nodal surgeries for carcinoma penis is thought to increase the morbidity and hospital stay. Despite the modifications in surgery including modified inguinal lymphadenectomies, morbidity of the procedure is high. Methods: A prospective, nonrandomized study to analyze a total of 56 consecutive patients from 2006 to 2009, who were evaluated and underwent surgery for primary and nodes for carcinoma penis at our center, was done. The median follow-up was 34 months (range from 12 to 48 months). The procedures included both prophylactic and therapeutic groin dissections. Various parameters were tested using SPSS version 17 statistics software. Results: Duration of drains, hospital stay, wound morbidity, and long-term complications were found to be similar in the simultaneous and staged surgery groups. The mean duration of drains for the simultaneous group of 18 patients was 12.56 days and the corresponding duration of drains for the staged surgery group of 36 patients was 12.83 days. The minor morbidity and major morbidity for the simultaneous group were 27.8% and 38.9% and the corresponding figures for the staged group were 22.2% and 44.4%, respectively. The mean and median hospital stay for the simultaneous surgery group were 21.5 and 27.5 days, respectively. The mean and median hospital stay for the staged surgery group were 17.5 and 21.36 days, respectively. The study revealed no statistically significant difference between the two groups with regard to all the above parameters. Conclusions: Simultaneous surgery for the primary and nodes in carcinoma penis is very much feasible. Simultaneous and early-staged lymphadenectomy have no difference in results with respect to drain duration, hospital stay, wound morbidity, and long-term complications. Simultaneous lymphadenectomy can be combined with penectomy both in the prophylactic and therapeutic settings.

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