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Combined laser treatment for penile carcinoma: results after long-term followup
Torgny Windahl1, Swen-Olof Andersson
1Department of Urology, Orebro University Hospital, Orebro, Sweden.
Purpose:
We evaluated local disease control, side effects and cause specific survival of penile carcinoma treated with laser therapy.
Materials And Methods:
In a prospective study from 1986 to 2002 we included 67 men with a mean age of 60 years with newly diagnosed penile carcinoma. No patient was lost to followup.
Results:
At a median followup of 42 months (range 12 to 186) 59 patients were alive and 8 had died of penile carcinoma (2) and concurrent disease (6). Of the 13 patients (19%) with local recurrence during the study period 10 underwent repeat laser treatment successfully. Side effects were few but 5 patients (7%) had postoperative bleeding. Overall cosmetic and functional results were highly satisfactory.
Conclusions:
The results of this study show that treating penile carcinoma with the combination of carbon dioxide and neodymium:YAG lasers can safely be done with highly satisfactory cosmetic results as well as good local tumor control.
