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Penile-Sparing Surgical Approaches in the Management of Primary Penile Tumours

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Part of the Current Clinical Urology book series (CCU)

Abstract

Radical surgery traditionally formed the mainstay of treatment due to excellent long-term oncological control, but the emasculating consequences of radical surgery were often associated with significant psychological and sexual morbidity. To overcome this, there has been an increased uptake in the use of penile-sparing approaches with the aim of achieving good oncological control with minimal anatomical and functional disruption. Historically, it was widely perceived that adequate clearance following surgery required at least a 2 cm tumour-free margin. However, a number of studies had challenged the need for such an extensive margin. The selection of the most appropriate penile-preserving technique depends primarily on the stage and location of the disease. Treatment is tailored to the individual, taking into account the lesion, the effect of surgery on penile length and associated co-morbidities. Here, we discuss the different treatment modalities available and their role in the management of penile cancer.

Keywords

  • Penile-sparing surgery
  • Penile cancer
  • Circumcision
  • Glans resurfacing
  • Glansectomy
  • Distal corporectomy

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Correspondence to Nicholas A. Watkin M.A., M.Chir., F.R.C.S. (Urol). .

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Sujenthiran, A., Hegarty, P.K., Watkin, N.A. (2017). Penile-Sparing Surgical Approaches in the Management of Primary Penile Tumours. In: Spiess, P. (eds) Penile Cancer. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-6679-0_3

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  • DOI: https://doi.org/10.1007/978-1-4939-6679-0_3

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