Cancer - Penis

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Cancer of the penis is cancer that begins within the penis, an organ that makes up part of the male reproductive system.

Causes
The precise cause is unknown.
Smegma, a cheese-like, foul-smelling substance discovered underneath the foreskin of the penis may increase the risk of penis - penis.
Uncircumcised men who do not keep the area beneath the foreskin clear and men with a historical past of genital warts or human papillomavirus (HPV) are at greater danger for this uncommon disorder.

Symptoms
Genital lesions on the penis
Painless sore on penis (often, the lesion may trigger ache)
Penis ache and bleeding from the penis (may happen with advanced illness)

Exams and Assessments
The health care provider will carry out a physical examination, which may reveal a non-tender lesion that appears like a pimple or wart. This growth is typically close to the tip of the penis.
A biopsy of the expansion is needed to confirm whether it is - penis.

Therapy
Treatment relies on the situation of the tumor and the way a lot it has spread.
On the whole, most cancers treatment consists of:
Chemotherapy -- uses medicines to kill cancer cells
Radiation -- utilizing excessive powered x-rays to kill cancer cells
Surgical procedure - cuts out and removes the most cancers

If the tumor is small and close to the tip of the penis, surgery could also be executed to take away solely the cancerous a part of the penis. That is called a partial penectomy.
For more severe tumors, whole removal of the penis (whole penectomy) is commonly necessary. A new opening will likely be created in the groin space to allow urine to exit the body. This procedure is called a urethrostomy.

Chemotherapy could also be used along with surgery. Bleomycin, cisplatin, or methotrexate alone or collectively are usually used for treating penile cancer.
Radiation remedy is commonly advisable in combination with surgery. A kind of radiation remedy known as exterior beam remedy is commonly used. This technique delivers radiation to the penis from exterior the body. External beam radiation therapy is often performed 5 days a week for six - eight weeks.

Support Teams
Becoming a member of a assist group the place members share common experiences and issues might assist relieve the stress associated with analysis and remedy of penile most cancers.

Outlook (Prognosis)
The end result will be good with early prognosis and treatment. The 5-year survival price for penile cancers is 65%. Urination and sexual operate can usually be maintained even when a significant portion of the penis is removed.

Doable Issues
Most cancers of the penis steadily spreads to other parts of the body (metastasizes) early in the midst of the disease.
When to Contact a Medical Skilled
Call your well being care provider if signs of penis cancer develop.

Prevention
Circumcision may decrease the risk. Men who are not circumcised must be taught at an early age the significance of cleaning beneath the foreskin as a part of their personal hygiene.
Good personal hygiene and safer sexual practices, equivalent to abstinence, limiting the number of sexual partners, and use of condoms to prevent HPV an infection, may decrease the danger of developing penile cancer.

References
Pettaway CA, Lynch DF, Davis JW. Tumors of the penis. In: Wein AJ, ed. Campbell-Walsh Urology. ninth ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 31.



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