Treatment of the Primary Tumor: Role of Organ-Preserving Surgery in Penile Cancer
Historically radical surgery has been the mainstay of penile cancer management, with the ability to pass urine being the predominant concern in terms of functional outcomes. As evidence has evolved, surgeons have had a greater confidence to take smaller margins in the knowledge that the oncological safety of the procedure is not compromised. Coupled with a more thorough appreciation of the psychological effects of diagnosis and treatment, this has led to a change in the surgical paradigm to include functional and cosmetic aspects. The use of new technologies and plastic surgical techniques has seen the use of organ-preserving surgery become the mainstay of penile cancer management.
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