ČESKÁ UROLOGIE / CZECH UROLOGY – 1 / 2021

62 KAZUISTIKY 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 Rekonštrukcia sekundárneho „pochovaného penisu“ s použitím dermoepidermálneho štepu po predchádzajúcich parciálnych amputáciách pre karcinóm penisu – kazuistika Peter Weibl, Ghazal Ameli, Johanna Krauter, Wilhelm Hübner Department of Urology, Teaching Hospital, Landesklinikum Korneuburg Došlo: 9. 11. 2020 Přijato: 4. 2. 2021 Kontaktní adresa: Assoc. Prof. Peter Weibl, MD, PhD. Department of Urology, Teaching Hospital – Lan‑ desklinikum Korneuburg, Wiener Ring 3–5, 2100 Korneuburg, Austria, e‑mail: pweibl@yahoo.com Conflicts of interest: Authors have no conflicts of interest or any financial competing interests. Financial support: None. Contributions: Substantial contributions to the design of the work, or acquisition of the periope‑ rative figures, analysis or interpretation of data for the work: P. Weibl, G. Ameli, J. Krauter. Drafting of the manuscript and critical revision for important intellectual content: P. Weibl, W. Hübner. SUMMARY Weibl P, Ameli G, Krauter J, Hübner W. Seconda‑ ry 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 ove‑ rall anatomy of the external genitalia. Patients andmethods: The authors describe the surgical principle of aquired buried penis reconstruc‑ tion after previous partial amputations while using principles of split‑thickness skin grafting (STSG), pre‑ pubic lipectomy and scrotoplasty. A 65 yrs old patient after biopsy proven squamous cell carcinoma of the penis, had undergone a glansectomywith neo‑glans reconstruction using STSG. A second procedurewith neo‑glans reconstruction and urethral flap reconfigu‑ rationwas 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 com‑ promised scrotum.