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Surgical Decision-Making, Technical Considerations, and Clinical Pearls in Therapeutic Inguinal Node Dissection for Penile Cancer

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Part of the Current Clinical Urology book series (CCU)

Abstract

The presence and extent of regional lymph node (LN) metastases is the single-most-important prognostic factor in determining the long-term survival of patients with squamous penile cancer. The natural history of squamous cell carcinoma of the penis has shown that the disease tends to exhibit a prolonged locoregional phase before distant metastasis. This provides a window for potential cure with inguinal lymphadenectomy. However the selection of patients who will benefit from upfront lymphadenectomy versus those who would benefit from neoadjuvant therapy followed by consolidative surgery requires further clarification. Physical examination findings and more recently imaging play an important role in stratifying the prognosis for patients with clinically positive inguinal lymph nodes. Optimal preoperative preparation utilizing a multidisciplinary approach along with meticulous planning of surgical steps will assist in minimizing postoperative complications.

In this chapter we will focus on preoperative evaluation, operative approach, and perioperative management of patients who undergo lymphadenectomy for clinically positive inguinal lymph nodes for penile squamous carcinoma.

Keywords

  • Penile cancer
  • Squamous cell carcinoma
  • Metastasis
  • Inguinal lymphadenectomy

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Correspondence to Ahmed Sarhan M.D. .

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Pettaway, C., Sarhan, A. (2017). Surgical Decision-Making, Technical Considerations, and Clinical Pearls in Therapeutic Inguinal Node Dissection for Penile Cancer. In: Spiess, P. (eds) Penile Cancer. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-6679-0_5

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  • DOI: https://doi.org/10.1007/978-1-4939-6679-0_5

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  • Publisher Name: Humana Press, New York, NY

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