Penile cancer: organ-sparing techniques.
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.
Department of Urology, Mater Misericordiae University Hospital and Mater Private, Dublin, Ireland.
Paul K
PK
Hegarty
Ian
I
Eardley
Axel
A
Heidenreich
W Scott
WS
McDougal
Suks
S
Minhas
Philippe E
PE
Spiess
Nick
N
Watkin
Simon
S
Horenblas
D006801:Humans; D008297:Male; D059351:Organ Sparing Treatments; D010412:Penile Neoplasms; D013521:Urologic Surgical Procedures, Male
organ preservation; penile cancer; review; surgery; treatment