Penile Sparing Surgery for Penile Cancer: A Multicenter International Retrospective Cohort: Beyond the Abstract
In the largest cohort to date, we demonstrate that penile sparing surgery offers durable local control for superficial and select invasive penile tumors at intermediate follow-up. Although traditional clinical standards would recommend partial or total penectomy for any penile tumor ≥T2, we present a large multicenter study collaboration among international centers of excellence suggesting carefully selected patients with pT2 disease (i.e. small volume, favorable location) can be managed with penile sparing surgery, provided a negative resection margin is achieved. Approximately 75% of local recurrences after penile sparing surgery occur within the first three years, making judicious follow-up in the early post-operative period imperative. Prospective studies are however still needed to clarify the optimal post-operative surveillance strategy to rigorously adopt among patients undergoing penile sparing surgery.
