Nd:YAG Laser Treatment of Early Stage Carcinoma of the Penis Preserves Form and Function of Penis

We analysed the results of penis-preserving (conservative) treatment of early stage cancer of the penis with neodymium: yttrium-aluminium-garnet (Nd:YAG) laser with long-term follow-up in a developing country. Methods: This was a retrospective study of 32 patients with cancer penis from 1993 to 2005...

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Main Authors: Mallika Tewari, Hari S. Shukla
Format: Article
Language:English
Published: Elsevier 2007-04-01
Series:Asian Journal of Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1015958409601457
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author Mallika Tewari
Hari S. Shukla
author_facet Mallika Tewari
Hari S. Shukla
author_sort Mallika Tewari
collection DOAJ
description We analysed the results of penis-preserving (conservative) treatment of early stage cancer of the penis with neodymium: yttrium-aluminium-garnet (Nd:YAG) laser with long-term follow-up in a developing country. Methods: This was a retrospective study of 32 patients with cancer penis from 1993 to 2005 who were treated by Nd:YAG laser local excision and in situ coagulation of the tumour bed. Results: Out of 32 patients who were treated with Nd:YAG laser, 25 had pT1 and seven had pT2 stage cancer penis. The median follow-up was 70 months (range, 6-120 months). Two had stopped attending the follow-up clinic after 6-12 months. Three patients had concurrent and six had delayed inguinal block dissection. There was no mortality but two (6.25%) patients developed recurrence in 48-60 months post laser excision. Penis was preserved in all 32 patients. All patients were satisfied with the cosmetic result. Eight patients practiced celibacy, in 23 sexual functions were normal and in one this information was not available. Micturition was in standing posture in all 32 patients. Conclusion: The result of this study shows that Nd:YAG laser treatment of early stage cancer penis has good local control with preservation of the penis.
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spelling doaj.art-ddb701a49b8344108fc1333496cd77a22022-12-22T03:54:15ZengElsevierAsian Journal of Surgery1015-95842007-04-0130212613010.1016/S1015-9584(09)60145-7Nd:YAG Laser Treatment of Early Stage Carcinoma of the Penis Preserves Form and Function of PenisMallika TewariHari S. ShuklaWe analysed the results of penis-preserving (conservative) treatment of early stage cancer of the penis with neodymium: yttrium-aluminium-garnet (Nd:YAG) laser with long-term follow-up in a developing country. Methods: This was a retrospective study of 32 patients with cancer penis from 1993 to 2005 who were treated by Nd:YAG laser local excision and in situ coagulation of the tumour bed. Results: Out of 32 patients who were treated with Nd:YAG laser, 25 had pT1 and seven had pT2 stage cancer penis. The median follow-up was 70 months (range, 6-120 months). Two had stopped attending the follow-up clinic after 6-12 months. Three patients had concurrent and six had delayed inguinal block dissection. There was no mortality but two (6.25%) patients developed recurrence in 48-60 months post laser excision. Penis was preserved in all 32 patients. All patients were satisfied with the cosmetic result. Eight patients practiced celibacy, in 23 sexual functions were normal and in one this information was not available. Micturition was in standing posture in all 32 patients. Conclusion: The result of this study shows that Nd:YAG laser treatment of early stage cancer penis has good local control with preservation of the penis.http://www.sciencedirect.com/science/article/pii/S1015958409601457carcinomaconservative treatmentNd:YAG laser coagulationpenis
spellingShingle Mallika Tewari
Hari S. Shukla
Nd:YAG Laser Treatment of Early Stage Carcinoma of the Penis Preserves Form and Function of Penis
Asian Journal of Surgery
carcinoma
conservative treatment
Nd:YAG laser coagulation
penis
title Nd:YAG Laser Treatment of Early Stage Carcinoma of the Penis Preserves Form and Function of Penis
title_full Nd:YAG Laser Treatment of Early Stage Carcinoma of the Penis Preserves Form and Function of Penis
title_fullStr Nd:YAG Laser Treatment of Early Stage Carcinoma of the Penis Preserves Form and Function of Penis
title_full_unstemmed Nd:YAG Laser Treatment of Early Stage Carcinoma of the Penis Preserves Form and Function of Penis
title_short Nd:YAG Laser Treatment of Early Stage Carcinoma of the Penis Preserves Form and Function of Penis
title_sort nd yag laser treatment of early stage carcinoma of the penis preserves form and function of penis
topic carcinoma
conservative treatment
Nd:YAG laser coagulation
penis
url http://www.sciencedirect.com/science/article/pii/S1015958409601457
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AT harisshukla ndyaglasertreatmentofearlystagecarcinomaofthepenispreservesformandfunctionofpenis