Partial penectomy as the traditional surgical treatment of localised penile cancer has adverse psychological impact. Glansectomy with split-thickness skin graft (STSG) reconstruction aims to provide curative resection while minimizing psychological harm. We describe our surgical technique and outcomes of glansectomy with STSG reconstruction for penile cancer in an Indian setting.

We describe a case series of 3 patients undergoing glansectomy with STSG genital reconstruction for penile carcinoma limited to head of the penis at our center. The skin is incised at the subcoronal level and deepened onto Buck's fascia. Dissection is performed over Buck's fascia. The glans is excised and penile shaft skin is fixed to the underlying corporal bodies creating a neoglans from the exposed corporal bodies using a STSG.

3 patients underwent this procedure at our center with the mean follow up of 2 months. The mean age of patients were 56 years. Margins were free of tumor in all cases. 1 patients had 100% while 2 patients had 80% graft uptake. There were no complications in the follow -up period. All patients voided well post catheter removal. All patients were satisfied with the cosmesis.

Glansectomy with STSG reconstruction is oncologically safe with good cosmetic outcomes, postoperative urinary function and limited complications.