Mohs Micrographic Surgery for Penoscrotal Malignancy
Mohs micrographic surgery (MMS) has been shown to reduce recurrence rates when used to excise many different mucocutaneous neoplasms, especially of the head and neck. The low recurrence rates are…
Imaging Tumors of the Penis and Urethra
In penile and urethral cancers, imaging has come to play a crucial role in enhancing the precision of clinical staging and facilitating optimal surgical planning. Over the years, great improvements…
Surgical Management of Carcinoma of the Penis
The potential devastating impact of curative traditional surgery on the patient’s quality of life should always be a consideration even as urologic oncologists attempt to cure this potentially life-threatening malignancy….
Reconstruction of the Penis After Surgery
This article describes penile reconstruction after surgery. Patient considerations in reconstruction, reconstruction of varied urethral defects, general principles of urethroplasty, surgical techniques of urethral reconstruction, reconstruction of scrotal and testicular…
Penile Cancer: Clinical Presentation, Diagnosis, and Staging
Penile cancer is an uncommon malignancy in developed countries, with an estimated 1290 new cases of invasive penile cancer and 290 deaths among men in the United States in 2009,…
Anatomic Considerations of the Penis, Lymphatic Drainage, and Biopsy of the Sentinel Node
This article reviews anatomic considerations in penile and urethral surgery, with a particular emphasis on lymphatic anatomy. The historical evolution of techniques to reduce the unnecessary use and operative morbidity…
Penile Intraepithelial Neoplasia and Other Premalignant Lesions of the Penis
Invasive penile cancer is an aggressive malignancy that often requires partial or complete penile amputation. Premalignant penile lesions, such as penile intraepithelial neoplasia, will have been present prior to the…
Urologic Complications of the Neurogenic Bladder
Patients with a neurogenic bladder are at risk for several urologic complications including hydronephrosis, vesicoureteral reflux, renal failure, urinary tract infections, calculus disease, bladder cancer, sexual dysfunction including infertility, and…
Botulinum Toxin Therapy for Neurogenic Detrusor Overactivity
Detrusor injection of botulinum toxin (BTX) has shown great promise in the treatment of neurogenic detrusor overactivity (NDO) refractory to conservative therapy. Despite a paucity of prospective evidence, there exists a…
The Neurogenic Bladder and Incontinent Urinary Diversion
Management of the neurogenic bladder with an incontinent stoma is necessary in situations in which intermittent catheterization via the urethra or a continent stoma is not feasible. Cutaneous ureterostomy, vesicostomy,…
