Editing Penile Cancer: Squamous Penile Cancer (section)

=== Favourable histologic features (stage Ta, T1; grade 1 and 2) ===

* '''<span style="color:#ff0000">Organ-sparing or glans-sparing surgical procedures</span>'''
** '''<span style="color:#ff0000">Goal is to preserve glans sensation and maximize shaft length</span>'''
*** '''<span style="color:#ff0000">Options (5):</span>'''
***# '''<span style="color:#ff0000">Moh's surgery</span>'''
***# '''<span style="color:#ff0000">Laser ablation</span>'''
***# '''<span style="color:#ff0000">Radiation therapy</span>'''
***# '''<span style="color:#ff0000">Limited excision strategies</span>'''
***# '''<span style="color:#ff0000">Glansectomy</span>'''
***#* '''Moh's micrographic surgery'''
***#** '''Least invasive of the organ-sparing approaches, with favourable functional outcomes'''
***#** '''High recurrence rates have been reported during long-term follow-up'''.
***#** Due to the low radicality of the procedure, Moh’s surgery has greater benefit for small superficial shaft lesions, but '''should not be used for large or high-risk tumours'''
***#* '''Glansectomy'''
***#** '''Most radical of the organ-sparing procedures'''
***#** '''Has the highest local control rate'''
***#** The glans is separated from the corporal heads and urethra transected with a distal urethrostomy constructed. The shaft skin can be advanced or split, or a full-thickness skin graft used.
***'''Because recurrence rates are higher with organ-preserving strategies, compliance with follow-up is also a consideration in recommending organ preservation versus amputation'''