Penile cancer and phallus preservation strategies: a review of current literature

Zukiwskyj, Marianna, Daly, Padraig and Chung, Eric (2013) Penile cancer and phallus preservation strategies: a review of current literature. BJU International, 112 Supp. 2: 21-26. doi:10.1111/bju.12205


Author Zukiwskyj, Marianna
Daly, Padraig
Chung, Eric
Title Penile cancer and phallus preservation strategies: a review of current literature
Journal name BJU International   Check publisher's open access policy
ISSN 1464-4096
1464-410X
Publication date 2013-11-01
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/bju.12205
Open Access Status Not Open Access
Volume 112
Issue Supp. 2
Start page 21
End page 26
Total pages 6
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Language eng
Abstract Penile cancer is a rare malignancy in most developed nations but its management can have significant anatomical, functional and psychological effects in patients. Whilst total penectomy used to be widely practiced, it is associated with significant psychological consequences pertaining to body image and masculinity, with loss of sexual function and the ability to void upright. Recent advances in surgical techniques and technologies has allowed for many organ-sparing techniques with acceptable psychosexual and oncological outcomes. Factors to be considered in phallus preservation treatment include: local invasion, tumour stage and the ability to achieve complete oncological control. Topical chemotherapeutic agents, laser ablation, radiotherapy, Mohs micrographic surgery, glansectomy and partial penectomy have been frequently used to interfere as little as possible with functional anatomy without compromising local cancer control. The difficulty with these phallus-preserving techniques is the potential risk of disease recurrence both locally and distally. Providing that patients are suitable for penile-sparing therapy, have been informed adequately on risk of tumour recurrence and are willing to commit to rigorous close surveillance, good functional outcome as well as oncological control can be achieved.
Keyword Penile cancer
Phallus preservation strategies
Clinical outcomes
Penile surgery
Radiotherapy
Glansectomy
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
ERA White List Items
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 12 times in Scopus Article | Citations
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