Glans Reconstruction / Glansplasty
Glans reconstruction covers resurfacing after partial glansectomy for distal penile SCC, reconstruction of the glans after circumcision injury, and formation of a neoglans during phalloplasty. Techniques include split-thickness skin graft, buccal mucosa graft, and local advancement flaps depending on the defect and the underlying indication.
Indications
| Indication | Common reconstructive option |
|---|---|
| Glans resurfacing after PeIN / superficial distal disease | STSG, FTSG, or buccal mucosa graft depending defect and bed |
| Total glansectomy with corporal-head preservation | Neoglans reconstruction with STSG / FTSG over the cavernosal tips |
| Traumatic or circumcision-related distal glans loss | Local advancement, graft, or urethral-flap technique depending urethral involvement |
| Phalloplasty neoglans creation | Local flap / sculpting techniques specific to the phalloplasty donor flap |
Technique Overview
This page is a launch pointer. The detailed named techniques already live on dedicated pages and the Penile Reconstruction database. For superficial glans resurfacing, see Glans Resurfacing. For urethral-flap neoglans options, see Gulino Everted Urethral Flap, Inverted Urethral Flap, and Mazza Scrotal-Flap Glanuloplasty.
The shared technical priorities are oncologic clearance when cancer is the indication, preservation of meatal position and urinary stream, graft or flap survival over the corporal bed, and acceptable glans contour / coronal definition.
Outcomes
Outcomes should be reported by indication: oncologic recurrence after glans-preserving cancer surgery, graft take / contracture, standing voiding, sensation, erectile function, appearance satisfaction, and need for revision. In the penile database, the glansectomy + neoglans pathway is positioned for invasive distal-glans disease when organ preservation can achieve equivalent cancer control.