Abstract Issue

Volume 14 Issue 5 (May) 2025

Original Articles

Functional outcomes after partial penectomy surgery for squamous cell carcinoma penis -an ambidirectional cohort study
Dr. Mahendra Mohan Gupta, Dr. Vinish Kumar Singh

Introduction and objectives: Partial penectomy remains the most common surgical procedure for treatment of invasive squamous cell carcinoma of penis. It provides successful local oncological control with adequate urinary and sexual function but there is no consensus in the literature regarding functional outcome after partial penectomy for penile carcinoma. Method: Patients undergoing partial penectomy for penile carcinoma from Feb 2008 to June 2015 were included in our study. Patients sexual quality of life and urinary function were assessed retrospectively using International Index of Erectile Function (IIEF-15) and Patient Reported Outcome Measures (PROM) for urethral stricture surgery. Results: Out of 68 patients from our patient database during the study period. Five patients died, 5 had lost to follow up, 6 developed regional lymphadenopathy on follow-up, and 4 had preoperative erectile dysfunction and hence only 48 patients were available for assessment. Out of 26 patients 19 patients (73.07%) reported normal erection but only 11 patients (42.30%) have sexual satisfaction whereas 7 patients (26.92%) have no sexual activity and denied feeling sexual desire. All patients report mild urinary symptoms, most common is decreased strength in 9 patients (34.61%) and require sitting posture to micturate, only 3 patients (11.58%) report metal stenosis and require dilatation. Ninety percent report being satisfied with their procedure. Conclusion: Our study used standardized, validated questionnaires to evaluate sexual and urinary function in partial penectomy patients. We report excellent overall urinary function and quality of life following partial penectomy for penile carcinoma and our results depict more realistic sexual outcomes than other studies.

 
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