incidence of microscopic metastases to inguinal lymph nodes , surgery to remove these nodes is under evaluation.
Radiation therapy , administered by external beam or with radiation implants, may preserve the entire penis. But recurrence rates are high and the urine canal often becomes very narrow. If this happens, surgical amputation can then be done.
Five-Year Survival 100 percent
Stage II
The cancer is locally invasive but has not spread to the groin (inguinal) lymph nodes.
Standard Treatment Partial or complete amputation of the penis (penectomy) depending upon the location of the cancer. If the tumor is at the tip of the penis, a partial penectomy can be done. If it develops closer to the root of the penile shaft or has spread, a total penectomy is usually needed. Cure rates are excellent for Stage II penile cancers treated surgically.
The decision to remove all of the penis depends on whether enough of a stump can be left to allow the man to have sexual intercourse and to urinate while standing without voiding in uncontrolled directions. Penile reconstruction or the construction of a new penis is possible with plastic surgery.
