Penile Cancer

What is Penile Cancer?


Cancer penis is not an uncommon cancer of urogenital system thought it has been dropping in incidence in the past few years. The causes remain unknown . Cancer penis is squamous cell cancer and usually it spread to the regional lymph noes at the inguinal region or pelvic region. Rarely it will spread to the organ like liver or lungs. The risk factors of developing cancer penis are:

  • lack of personnel hygiene
  • uncircumcised
  • presence of chronic irritation and infection
  • infection oh human papilloma virus
  • older male>60 years old
The presentation will be
  • Unhealed ulcer at the penis
  • Lump or growth at the tip or side of the penis
  • Skin ulcer which is increasing in size and unable to heal
The diagnosis will be that of clinical examination to confirm the mass followed by biopsy before we stage and treat the disease.




Procedures


There are two types of surgical treatment for CAP:

  • Radical prostatectomy, or
  • Transurethral Resection of The Prostate (TURP with or without bilateral orchidectomy
Radical prostatectomy is one of the main modalities of treatment, it is mainly for curative treatment especially when:
  • The cancer is high grade with low PSA (<10ng/dl)
  • The patient is relatively young (<70 years) and the cancer is in its early stage
The 2 types of radical prostatectomy are:
  • Open radical prostatectomy
  • Minimally Invasive (MIS) prostatectomy (Laparoscopy vs. Robotic)
The potential complications of surgery are bleeding from uncontrolled vein bleeding and injury to the surrounding organs. The potential after-surgery complications are those of incontinence and impotence.





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