Penile Cancer: Squamous Penile Cancer: Difference between revisions

Line 266:

***#** '''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'''

***#* '''Glansectomy'''

***** '''Most radical of the organ-sparing procedures'''

***#** '''Most radical of the organ-sparing procedures'''

***** '''Has the highest local control rate'''

***#** '''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.

***#** 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''' '''Indications for partial or total penectomy (3):'''

***# '''High grade (grade ≥ 3) lesions'''

***# '''[stage ≥ T2]; deep invasion into the glans urethra or corpora cavernosa'''

***# '''Tumours >4cm'''

@@ Line 266: / Line 266: @@
 ***#** '''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'''
+***#* '''Glansectomy'''
-***** '''Most radical of the organ-sparing procedures'''
+***#** '''Most radical of the organ-sparing procedures'''
-***** '''Has the highest local control rate'''
+***#** '''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.
+***#** 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''' '''Indications for partial or total penectomy (3):'''
 ***# '''High grade (grade ≥ 3) lesions'''
 ***# '''[stage ≥ T2]; deep invasion into the glans urethra or corpora cavernosa'''
 ***# '''Tumours >4cm'''