Urethra reconstruction following resection of penile leiomyosarcoma.

Dabernig, Jörg; Schumacher, Oliver; Shelley, Odhran P; Dabernig, Werner; Schaff, Jürgen · Eur Urol · 2006

case_report · Level V

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Abstract

Leiomyosarcoma is a rare tumor, particularly in genital area. We present a case of penile lyomyosarcoma. Surgical treatment involved subcutaneous penectomy, preserving a sensate skin envelope, bilateral groin dissection and perineal urethrostomy. Reconstruction of the urethra and soft tissue was carried out using a free radial forearm flap. We believe that subcutaneous penectomy should be considered as a treatment option in selected cases of penile tumor as this facilitates urethral reconstruction.

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