Ces Urol 2021, 25(1):62-68

Secondary buried penis reconstruction with split‑thickness skin grafting after previous partial amputations for penile cancer - report of a case

Peter Weibl, Ghazal Ameli, Johanna Krauter, Wilhelm Hübner

Department of Urology, Teaching Hospital, Landesklinikum Korneuburg

Weibl P, Ameli G, Krauter J, Hübner W. Secondary buried penis reconstruction with split­‑thickness skin grafting after previous partial amputations for penile cancer – report of a case.

Background: Surgical strategy of buried penis depends on the etiology and quality of affected and surrounding tissues, as well as overall anatomy of the external genitalia.

Patients and methods: The authors describe the surgical principle of aquired buried penis reconstruction after previous partial amputations while using principles of split­‑thickness skin grafting (STSG), prepubic lipectomy and scrotoplasty. A 65 yrs old patient after biopsy proven squamous cell carcinoma of the penis, had undergone a glansectomy with neo­‑glans reconstruction using STSG. A second procedure with neo­‑glans reconstruction and urethral flap reconfiguration was done, because of local recurrence. Shortly thereafter, due to a secondary infection of the penis shaft tissues, the patient developed a buried penis.

Results: The surgical goal should repair voiding/sexual functioning and psychological well being, which have been achieved during short term follow­‑up.

Conclusion: STSG is a valid alternative for advanced cases in patients with already compromised scrotum.

Keywords: Buried penis, penile cancer, partial penectomy, neo­‑glans, split thickness skin graft.

Published: March 30, 2021