Treatment of penis carcinoma

Amputation of the penis is by no means the quickest and least invasive of the surgical methods of treating penis carcinoma. Radiation therapy has the advantage of preserving the integrity of the penis and does not render a later operation of the penis impossible. Regional lymph node metastases should be removed surgically whenever possible; their radical extirpation, especially total lymphadenectomy, should not be too vigorous because it is essential to avoid any complications, and irradiation of the inguinal and iliac lymph node regions by modern methods of radiation therapy is acceptable to the patient and can still be helpful even in more advanced cases. We do not yet have enough experience with cytotoxic therapy, bleomycin or laser coagulation to alter our present method of treatment.