Glansbehoud

Glansbehoud, or glans preservation, is a term used in urology and penile surgery to describe approaches that aim to preserve the glans penis during procedures that might otherwise remove or significantly alter it. The goal is to maintain the glans’ appearance and sensory function while effectively treating the underlying condition.

The concept is applied in several contexts. In penile cancer, glans-preserving or organ-sparing strategies seek complete tumor removal with adequate margins while keeping the glans intact when oncologically safe. In circumcision, glansbehoud refers to techniques that spare the glans tissue in selected cases. It is also relevant in trauma or congenital conditions where reconstruction aims to retain the glans.

Techniques vary and are tailored to the individual patient. They can include partial glansectomy with tissue-sparing resections, the use of mucosal or foreskin flaps, grafting, and reconstructive methods to preserve or restore the glans while achieving functional goals. Dissection, staging, and careful planning are essential to balance disease control with preservation of sensation and appearance. The specific approach depends on factors such as lesion size and location, patient health, and surgeon expertise.

Outcomes depend on context and execution. Potential benefits include preserved sensation, urinary and sexual function, and favorable cosmetic results. Risks include incomplete disease clearance in oncologic settings, need for additional procedures, infection, stenosis, or patient dissatisfaction with cosmetic results. Long-term follow-up and multidisciplinary discussion are important, particularly in cancer-related cases. Related topics include penile cancer, circumcision, and penile reconstruction.