ČESKÁ UROLOGIE / CZECH UROLOGY – 2 / 2020

112 ORIGINÁLNÍ PRÁCE Ces Urol 2020; 24(2): 105–112 of time, although we used well standardized partial glans excision technique (2, 3). Our report has several limitations worth no‑ ting: a) small subset of patients, b) limited follow up, and c) we did not quantify the satisfactory and sexual outcome according to the appropri‑ ate measurements and validated questionnaires. Having said so, we are fully aware that the state‑ ment – „the procedure is safe and effective“ is in the meantime preliminary. With respect to our results, the described procedure has promising potential especially in the setting of partial glans resurfacing for smaller lesions involving less than a half surface of the glans. At this time there was no comparison with the „standard of care“ con‑ trol group analysed. The patch itself, does not help to recreate the initial anatomy of the glans. However, according to our previous observations, the natural healing process of the glans tissues after succesful hemostasis only, has the poten‑ tial to rebuild the comparable and satisfactory appearance, without any further reconstructive principles (8). This initial report should encourage urologists to conduct a well designed study to prove the efficacy of this surgical principle. Last but not least, it is of utmost importance to indicate such a technique in a well selected compliant and motivated patient population. Abbreviations: PeIN – penile intraepithelial neoplasia; SCC – squamous cell carcinoma; STSG – split‑thickness skin graft REFERENCES 1. Kelly F, Lonergan P, Lundon D, et al. A Prospective Study of Total Glans Resurfacing for Localized Penile Cancer to Maximize Oncologic and Functional Outcomes in a Tertiary Referral Network. J Urol. 2017; 197(5): 1258–1263. 2. Shabbir M, Muneer A, Kalsi J, et al. Glans resurfacing for the treatment of carcinoma in situ of the penis: surgical technique and outcomes. Eur Urol. 2011; 59(1): 142–147. 3. Hadway P, Corbishley CM, Watkin NA. Total glans resurfacing for premalignant lesions of the penis: initial outcome data. BJU Int. 2006; 98(3): 532–536. 4. Öllinger R, Mihaljevic AL, Schuhmacher C, et al. A multicentre, randomized clinical trial comparing the Veriset™ haemostatic patch with fibrin sealant for the management of bleeding during hepatic surgery. HPB (Oxford) 2013; 15(7): 548–558. 5. Howk K, Fortier J, Poston R. A Novel Hemostatic Patch That Stops Bleeding in Cardiovascular and Peripheral Vascular Procedures. Ann Vasc Surg. 2016; 31: 186–195. 6. Schuhmacher C, Pratschke J, Weiss S, et al. Safety and effectiveness of a synthetic hemostatic patch for intraoperative soft tissue bleeding. Med Devices (Auckl). 2015 Mar 31; 8: 167–174. 7. Weibl P, Plank C, Hoelzel R, et al. Neo‑glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft. Arab J Urol. 2018; 16(2): 218–223. 8. Weibl P, Herwig R. Superficial penile cancer treated with complete excision of the glans epithelium and coverage with a tissue sealant matrix (TachoSil®). Cent European J Urol. 2019; 72(2): 204–208.