Open Access

ARTICLE

Penile cancer: current challenges

Woei Yun Siow, Christopher Cheng

Department of Urology, Singapore General Hospital, Singapore
Address correspondence to Dr. Christopher Cheng,Department of Urology, Singapore General Hospital, Outram Road, Singapore, 169608

Canadian Journal of Urology 2005, 12(Suppl.1), 18-23.

Abstract

Penile cancer remains a formidable challenge in many developing countries because of its high incidence and the advanced disease stage at diagnosis.
For early penile cancer, surgery alone offers a high cure rate. Penile sparing therapies are proposed as alternative treatment options for select patients with the added advantages of preservation of body image and improved quality of life.
The optimal management of lymph node disease remains controversial. The role of the sentinel lymph node biopsy, lymphatic mapping, prophylactic lymphadenectomy and the template for lymph node dissection are discussed.
For advanced, metastatic penile cancer, more effectiveand less toxic chemotherapy is needed. This may be coupled with palliative surgery or radiotherapy for the primary tumor and inguinal disease.

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