The tumor size and degree of spread locally and to other sites (stage) determines treatment options. • If the tumor is small and local, it can be treated surgically, chemically or with radiation or laser without major damage to the appearance or function of the penis. • If it has penetrated the deeper penile tissues or if it is large, surgery is the preferred treatment for most men. Radiation is an option, but results are less certain. • If the tumor has spread to lymph nodes , surgery or radiation are used. • Chemotherapy is of little value in extensive carcinoma of the penis.