Work

Partial penectomy using the targeted vessels ligation: Enhanced a new technique to prevent blood loss and urethral stenosis, case series

Year: 2025

Type: article

Abstract: We describe a novel surgical strategy, targeted vessel ligation (TVL), that enhances haemostasis and minimizes urethral compression, thereby reducing postoperative complications and preserve urinary and sexual function. The TVL technique involves the precise, individual ligation and cauterization of penile vessels, performed under tourniquet control to create a clean surgical field. Unlike conventional suturing techniques, this approach avoids excessive pressure on the urethra and prevent blood loss. Applied in three patients undergoing partial penectomy, the technique resulted in reduced intraoperative blood loss, no postoperative hemorrhage, no urethral stenosis, and preserved urinary and erectile function over a 7-month follow-up period. • A new surgical technique is proposed to prevent more than 2 complications in case of partial penectomy • The targeted vessel ligation, which should be performed to prevent the risk of urethral stenosis and to reduce blood loss. • The technique herein described significantly prevent urethral stenosis and reduces blood loss while maintaining functional outcomes in micturition, cosmesis • It offers an improved approach to manage penile cancer.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103260

Authors: Jeannot Baanitse, Eltahir Ahmed, Franck Sikakulya, Joshua Muhumuza, Bruno Bucca

Institutions: Kampala International University, Sapienza University of Rome

Language: English

Topic: Genital Health and Disease

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160