22 Penis cancer

Penis cancer

13

THE GEC ESTROHANDBOOKOF BRACHYTHERAPY | Part II Clinical Practice Version 1 - 15/07/2022

14. KEYMESSAGES

• Penile brachytherapy is an effective penile sparing option for curative treatment of SCC of the glans penis under 4 cm in size, stage T1, and selected T2 and T3. • Although the classic LDR approach is used less frequently, the same techniques apply to PDR implants and similar results can be expected. HDR experience is increasing and although the dose and fractionation are still evolving, results are very promising.

• Penile preservation can be expected in 85% of men at 5 years and 70% by 10 years.

• Protracted follow up is recommended as late local recurrences can be effectively managed surgically.

• Lymph node status remains the most important prognostic factor and close collaboration with urologists is recommended for appropriate lymph node surgical staging in higher risk tumours