Carcinoma of the Penis: The Possibility of Organ Preservation by ND:YAG Laser Treatment

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Abstract
Background: Partial or total penectomy is the first choice of treatment for localized squamous cell carcinoma of the penis. Mutilation, postoperative micturition difficulties as well as loss or limitation of their sex life are reasons why patients refuse treatment, and therefore the possibility of an effective therapeutic method with lower morbidity should be offered them. Results: A 58-year-old patient with cancer pTa, pNO, MO, WHO grade II had no evidence of recurrent cancer 2 years after circumcision, tumor excision and ND:YAG laser coagulation (wavelength 1,064 nm). A staging biopsy of the superficial lymph nodes (sentinel LN) and a postoperative biopsy of the tumor base were uneventful. There were no complications from laser therapy. The postoperative cosmetic result was excellent after 2 years. Up to now, no hematogenic or lymphogenic metastases could be observed (CT, MR, bone scan).Conclusions: The local radical surgery offered by ND:YAG laser coagulation gives the possibility of organ preservation in stage Tis-Tl, NO, MO tumors. So, an effective therapy with low morbidity can be set up. ND:YAG laser coagulation enables preservation of the organ and leads to optimal cosmetic results. The success rate can be compared to results gained by surgical techniques.

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