title: Penile cancer: organ-sparing surgery.
abstract: OBJECTIVE
  Penile cancer is a devastating disease, usually diagnosed late, that requires wide excisions, which causes alterations in self-esteem and body image, affecting sexual and urinary functions, which compromise quality of life. Recently, an increasing interest in penile-sparing surgeries (PSSs) has emerged, aiming to spare patients from these complications.
  
  
  RESULTS
  Several options of PSS have been popularized for selected cases (Ta-1, Tis and some T2), such as wide local excision, circumcision, partial penectomy, total or partial glansectomies with or without glans-resurfacing procedures, as well as new glans reconstructions using spatulated urethral advances or free skin grafts. These options, in general, achieve good local control, with adequate functional results and satisfactory cosmetic appearance. The local recurrences, however, are slightly higher than amputations. Contemporary techniques such as laser or cryotherapy can be performed in selected cases.
  
  
  CONCLUSIONS
  PSS must be indicated only for superficial penile cancer cases, such as Tis and Ta-1, and for selected invasive lesions (small distal pT2 tumors). Candidates for PSS should be adherent to follow-up requirements, allowing early detection of local recurrences. Prompt and effective salvage procedures are mandatory in these situations.
authors.affiliation: aDepartment of Urology ABC Medical School, Santo André bDivision of Urology, Department of Pelvic Surgery, AC Camargo Cancer Center cDivision of Urology, ABC Medical School, Santo André, São Paulo, Brasil.
authors.forename: Antonio Carlos Lima
authors.initials: AC
authors.lastname: Pompeo
authors.forename: Stênio de Cássio
authors.initials: Sde C
authors.lastname: Zequi
authors.forename: Alexandre Saad Feres Lima
authors.initials: AS
authors.lastname: Pompeo
mesh_terms: D003452:Cryosurgery / Q000379:methods; D006801:Humans; D053685:Laser Therapy / Q000379:methods; D008297:Male; D059351:Organ Sparing Treatments / Q000379:methods*; D010412:Penile Neoplasms / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013521:Urologic Surgical Procedures, Male / Q000379:methods*