Organ-Sparing Penile Cancer Surgery tied to better Patient-R
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Men with penile cancer who get a partial or radical glansectomy with reconstruction report satisfaction with urinary function and phallus appearance after surgery, a small study suggests.

The objective of this study published by the Urology was to assess patient-reported outcomes of oncoplastic penile reconstruction using standardized questionnaires.

Following ethical approval, patients post partial/radical glansectomy with reconstruction 2016–2019, under a single surgeon, were identified. Patients were posted a modified Index of Male Genital Image, the IIEF-5, a customized questionnaire exploring outcomes of urinary and sensory function and the EORTC QLQ-C30 to complete and return.

A total of 130 questionnaires were received from 35 patients post penile reconstruction, giving a response rate of 71.4%.

--Meantime from surgery was 22 months, and the mean age 61 years.

--The majority were satisfied or felt neutral about the appearance of their genitalia. High satisfaction with the post-procedure urinary function was reported; 85.3% could void from a standing position and 79.4% reported little or no spraying of urine.

--Nineteen patients were sexually active, with mean IIEF-5 scores of 14.9 (partial glansectomy) and 15.8 (radical glansectomy).

--Mean QoL over the past week on the 7-point EORTC QLQ-C30 scale was 5.88.

Conclusively, investigators report good aesthetic and functional outcomes in a unique study exploring penile cancer surgery patient-reported outcome measures. These results strongly support phallic-preserving strategies as the standard of care in eligible patients undergoing penile cancer surgery.