Penile Reconstructive Surgery

Call for Papers

The aim of this special issue is to summarize various congenital and acquired penile anomalies, focusing on recent surgical techniques and their outcomes.

Penile reconstruction presents a great challenge. During the last few decades, many operative procedures and their modifications for the treatment of both congenital and acquired anomalies have been published. One of the most common congenital anomalies is hypospadias. Repair of this anomaly has become easier with the Snodgrass principle for distal and buccal mucosa graft combined with genital flaps for proximal forms. However, the complication rate has not been minimized to a satisfactory outcome. Lengthening of the epispadiac penis presents the main aim in epispadias repair with a dilemma regarding correction of curvature, internal rotation, plication or graft techniques. The current management of patients with intersex, now named disorders of sex development, has resulted in updated etiological and outcome data as well as refined surgical procedures. Ambiguous genitalia play a role in gender differentiation and surgical treatment should be based on answers obtained from the psychosexual questionnaire of this population.

The degree of curvature, type of deformity, erectile dysfunction, and penile length are all characteristics that are assessed when choosing the best surgical intervention in Peyronie's disease. The majority of procedures are usually plagued with some loss of length. The application of radical geometrical principles in creating and fashioning of the graft of an appropriate size leads to precise correction with adequate penile lengthening. A wide variety of medications, devices, and surgical interventions are available to patients with erectile dysfunction. Although technological improvement of penile prosthesis leads to their rising popularity, strict indications and rigorous surgical principles for implantation should always be respected (followed) in order to avoid unnecessary surgery and possible complications with severe psychological consequences.

Modern technology results in frequent injuries which include penile trauma. Generally, reconstruction is very demanding and selected surgical options depend on etiology and severity of injury. Last but not least, penile carcinoma is an aggressive disease with significant treatment-associated psychosexual morbidity. Despite high control rates with radical surgical approaches, organ-sparing surgery should be considered in order to achieve a better psychosexual life.

We invite authors to present personal experiences, reviews, and opinions surrounding the following issues:

Authors should follow the Advances in Urology manuscript format described at the journal site http://www.hindawi.com/journals/au/. Prospective authors should submit an electronic copy of their complete manuscript through the journal Manuscript Tracking System at http://mts.hindawi.com/, according to the following timetable:

Manuscript Due	May 1, 2008
First Round of Reviews	August 1, 2008
Publication Date	November 1, 2008

Guest Editor

• Miroslav L. Djordjevic, Department of Urology, University Children's Hospital, Tirsova 10, 11000 Belgrade, Serbia