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- Publisher
- Karger
- Copyright
- © 2011 S. Karger AG, Basel
- ISSN
- 1661-7649
- eISSN
- 1661-7657
- DOI
- 10.1159/000327453
- Publisher site
- See Article on Publisher Site
Abstract
Introduction: Traditional treatment for penile cancer involved wide excision resulting in both poor cosmesis, as well as poor sexual and urinary function. Contemporary approaches emphasize tissue preservation and reconstruction while maintaining comparable oncological outcomes. In this review, we summarize modern trends in the management of penile cancer, emphasizing contemporary minimally invasive techniques, reconstructive methodologies, and their effect on quality of life (QoL) and sexual function. Methods: PubMed search for publications on the management options and functional outcomes of penile cancer. Results: Contemporary treatment modalities for local penile cancer include microscopically guided surgery, laser therapy, radiotherapy, penile-sparing surgery, reconstruction after glansectomy, partial and total penectomy. Sexual ability can be preserved or restored in many patients treated for penile cancer, although overall QoL for most does not necessarily relate to erectile function. Conclusion: Increasing evidence suggests that sexual function can be restored and QoL maintained despite treatment for penile cancer.
Journal
Current Urology – Karger
Published: Jan 1, 2011
Keywords: Penile cancer; Sexual function; Urologic reconstruction; Quality of life