Penile cancer: organ-sparing techniques.

Abstract

To compare the oncological safety of treating patients with penile cancer with conservative techniques developed to preserve function, cosmesis and psychological well-being with more radical ablative strategies. We conducted an extensive review of the literature of penile-preserving and ablative techniques and report on the oncological as well as functional outcomes. There were no randomised studies comparing penile-preserving and ablative techniques. Most studies consisted of retrospective cohorts. The quality of evidence was level 3 at best. Cancer-specific survival is similar in penile-preserving and ablative approaches for low-stage disease. Penile preservation is better for functional and cosmetic outcomes and should be offered as a primary treatment method in men with low-stage penile cancer.

• Authors: Paul K Hegarty, Ian Eardley, Axel Heidenreich, W Scott McDougal, Suks Minhas, Philippe E Spiess, Nick Watkin, Simon Horenblas
• Journal: BJU international (BJU Int) Vol. 114 Issue 6 Pg. 799-805 (Dec 2014) ISSN: 1464-410X [Electronic] England
• PMID: 24053403 (Publication Type: Journal Article, Review)
• Copyright: © 2013 The Authors. BJU International © 2013 BJU International.

Topics

• Humans
• Male
• Organ Sparing Treatments
• Penile Neoplasms
• Urologic Surgical Procedures, Male