SURGICAL TREATMENT OF PENILE CARCINOMA LOCALIZED IN THE ORGAN

Summary

Deciding about penile carcinoma treatment we have to consider the rules of oncology safety of selected treatment at first. At the same time we must take into account other factors as patients age, health status and consequent quality of life. An effort to preserve the biggest possible part of penis allowing urination in standing position, erection and at least a partial intercourse should be made particularly in young men. The grading, invasion depth and angioinvasion presence is evaluated on the basis of histological investigation. Penile lesions are assessed according to its size, location, fixation and invasion into corpora cavernosa. Examination of the area of penile root and bilateral examination of scrotum and groins cannot be omitted. In the treatment of small local lesions of glans penis and prepuce we can use preserving methods. It is necessary to perform radical surgical procedure in invasive tumours or tumours with higher histological classification.

Every amputation procedure of genital organs is a very substantial intervention in body integrity and patients mind. An informed acceptance by a patient before the surgery is very important in this case. Very delicate psychological approach and absolute intimacy is necessary in any communication with the patient.

KEY WORDS:
carcinoma of the penis, biopsy, tumor excision, partial penectomy, total penectomy, perineal urethrostomy