EAU & ASCO: Penile Cancer 2023: Difference between revisions
Urology4all (talk | contribs) |
Urology4all (talk | contribs) |
||
| Line 548: | Line 548: | ||
* Local recurrence is easily detected by physical examination, by the patient himself or his physician. | * Local recurrence is easily detected by physical examination, by the patient himself or his physician. | ||
* Regional recurrence requires timely treatment by rILND with (neo)adjuvant chemotherapy/chemoradiotherapy. | * Regional recurrence requires timely treatment by rILND with (neo)adjuvant chemotherapy/chemoradiotherapy. | ||
* Men should be assessed for genital and lower limb lymphoedema at each outpatient clinic appointment, advised about good skin care, compression, exercise, massage, and elevation when resting as the mainstay of treatment. Following nodal surgery, ideally, they would be referred to specialist lymphoedema services for assessment and management before any significant lymphoedema occurs. | |||
** Specialist lymphoedema services offer a range of made-to-measure compression garments or multi-layer lymphoedema bandaging for lower limb and genital lymphoedema | |||
*** For lower limb compression adjustable Velcro garments also exist. | |||
*** Good skin care is critical to prevent infection that can damage remaining lymphatic channels. | |||
*** Prophylactic antibiotics should be used following any episode of cellulitis, with penicillin V, erythromycin or clindamycin recommended, except in genital lymphoedema where prophylactic trimethoprim can be used | |||
== References == | == References == | ||