Follow-up after penectomy for penile cancer

The primary area of concern for follow-up after initial therapy for penile cancer is the inguinal lymph nodes. Physical examination is the mainstay for follow-up but inguinal computed tomography scans can be of benefit in selected patients. Follow-up must be weighed heavily in the first 6 to 12 months as most metastases are noted in this period. Close follow-up is justifiable in penile cancer because many patients may be cured in spite of low volume inguinal lymph node metastatic disease. A proposed follow-up strategy is presented.