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Sexual outcomes after partial penectomy for penile cancer： results from a multi-institutional study

Asian Journal of Andrology 2017年第1期19卷 57-61页

作者： Salvatore Sansalone Mauro Silvani Rosario Leonardi Giuseppe Vespasiani Valerio Iacovelli Department of Experimental Medicine and Surgery - Urology Tor Vergata University of Rome 00133 Rome Italy Department of Urology Biella General Hospital 13900 Biella Italy Musumeci GECAS Clinic Gravina di catania 95127 Catania Italy.

Penile cancer is an uncommon malignancy. Surgical treatment is inevitably mutilating. Considering the strong impact on patients＇ sexual life we want to evaluate sexual function and satisfaction after partial penectomy. The patients in this study （n = 25） represented all those who attended our institutions and were diagnosed and treated for penile cancer from October 2011 to November 2013. All patients underwent partial penectomy and followed-up （mean： 14 months; range： 12-25）. Sexual presurgical baseline was estimated using the International Index of Erectile Dysfunction 15 （IIEF-15）. Sexual outcomes of each patient were estimated considering four standardized and validated questionnaires. We analyzed the means and ranges of IIEF-15 including erectile function （IIEF-1-5 and -15）, orgasmic function （IIEF-9 and -10）, sexual desire （IIEF-11 and -12）, intercourse satisfaction （IIEF-6-8）, and overall satisfaction （IIEF-13 and -14）. Then, we also used Quality of Erection Questionnaire （QEQ）, Erectile Dysfunction Inventory of Treatment Satisfaction （EDITS） and Self-Esteem and Relationship （SEAR） to evaluate the sexual function and satisfaction of our patients. The final results showed that penile cancer leads to several sexual and psychosexual dysfunctions. Nevertheless, patients who undergo partial penectomy for penile cancer can maintain the sexual outcomes at levels slightly lower to those that existed in the period before surgery.

关键词： partial penectomy penectomy penile cancer penile tumor sexual outcomes

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Penile Cancer in Liberia: A Case Report and Review of the Literature

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Health 2018年第8期10卷 1132-1139页

作者： Edet Ikpi Solomane Konneh Bashir Yunusa Ansumana Camara Alberta Clark Sean Subah David Alele Monica Sroden Urology Division Department of Surgery JFK Memorial Hospital Monrovia Republic of Liberia Department of Surgery Icahn School of Medicine Mount Sinai New York USA Department of Pathology Waterbury Hospital Waterbury USA

Background: Penile cancer is uncommon in Liberia with no record of its occurrence so far in the literature. Its occurrence worldwide is significantly affected by cultural or religious practices like childhood circumcision. Smoking, poor penile hygiene and inflammatory processes in the presence of smegma increase the risk of its occurrence. Objective: To review the first case of penile cancer treated in Liberia. Materials and Method: Case report. Case Presentation/Report: Our index patient is a 65-year old man referred from a peripheral centre in acute urinary retention. He also presented with a year history of progressively expanding ulcerative penile lesion affecting the glans and penile shaft. Local examination of the genitalia revealed an ulcerated lesion extending from the glans up to the mid shaft of the penis. The penobulbar urethra was free of induration. The external urethral meatus was infiltrated by the lesion. The scrotum and testes were normal and digital rectal examination revealed a moderately enlarged benign prostate. Bilateral inguinal lymph node enlargement was elicited. A diagnosis of advanced penile cancer with benign prostatic hyperplasia was made. The patient had partial penectomy, reconstruction of new external urethral meatus and inguinal lymphadenectomy. The specimen was histologically confirmed to be Squamous cell Carcinoma of the penis;the resection margins and lymph nodes biopsied were found to be adequate and tumor free respectively. Patient’s post operative recovery was uneventful and he was discharged after a week. His follow up status after 6 months has remained satisfactory. Conclusion: Though rare, penile cancer does occur in Liberia and specialist staff with capacity for diagnosing and surgical intervention remains critical to patients’ outcome. Early intervention improves the chances of better outcome;counseling is critical to prevent treated patient lapsing into depression.

关键词： Carcinoma Penis penectomy

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