Overview
Penectomy: Surgical removal of entire cancerous penis is called Total penectomy. However partial penectomy is more commonly done procedure, in which only a part of penis is removed enabling the patient to urinate in standing position. We also frequently perform various penile sparing procedures such as glansectomy (removal of glans penis only) and excision of cancerous lesion alone in case of very small tumors.
Groin node dissections (Complete ilioinguinal or modified inguinal node dissection) : Penile cancer usually spreads to groin nodes followed by pelvic lymph nodes. These nodes are surgically removed depending on the extent of nodal involvement.
Risk Factors
- HPV Infection
- Smoking
- Age
- Smegma
- Phimosis
- Psoriasis Treatment
Symptoms
- Growth or sore on the penis, especially on the glans or foreskin, but cancer also occurs on the shaft
- Changes in the color of the penis
- Thickening of the skin on the penis
- Persistent discharge with a foul odor beneath the foreskin
- Blood coming from the tip of the penis or from under the foreskin
- Unexplained pain in the shaft or tip of the penis
- Irregular or growing bluish-brown flat lesions or marks beneath the foreskin or on the penis
- Reddish, velvety rash beneath the foreskin
- Small, crusty bumps beneath the foreskin
- Swollen lymph nodes in the groin
Diagnosis
- Biopsy
- Inguinal (groin) lymph node dissection
- X-ray
- CT Scan
- MRI Scan
Treatment Options
- Laser therapy
- Cryosurgery
- Circumcision
- Excision
- Mohs surgery
- Penectomy
- Lymph node dissection
