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Cancer of the penis is most cancers that begins within the penis, an organ that makes up a part of the male reproductive system. Causes The exact cause is unknown. Smegma, a cheese-like, foul-smelling substance found underneath the foreskin of the penis might increase the chance of penis cancer. Uncircumcised men who do not maintain the area under the foreskin clean and males with a historical past of genital warts or human papillomavirus (HPV) are at increased threat for this uncommon disorder. Symptoms Genital lesions on the penis Painless sore on penis (often, the lesion could cause pain) Penis ache and bleeding from the penis (might occur with advanced disease) Exams and Checks The well being care supplier will carry out a physical exam, which may reveal a non-tender lesion that appears like a pimple or wart. This development is usually close to the tip of the penis. A biopsy of the expansion is needed to confirm if it is cancer. Therapy Remedy depends upon the location of the tumor and the way a lot it has spread. On the whole, cancer remedy consists of: Chemotherapy -- uses medicines to kill most cancers cells Radiation -- utilizing excessive powered x-rays to kill most cancers cells Surgery - cuts out and removes the cancer If the tumor is small and close to the tip of the penis, surgical procedure could also be accomplished to take away solely the cancerous a part of the penis. That is known as a partial penectomy. For more extreme tumors, complete removal of the penis (complete penectomy) is commonly necessary. A new opening might be created within the groin space to permit urine to exit the body. This process is named a urethrostomy. Chemotherapy could also be used together with surgery. Bleomycin, cisplatin, or methotrexate alone or collectively are normally used for treating penile - penis. Radiation remedy is often recommended together with surgery. A type of radiation therapy referred to as exterior beam remedy is usually used. This methodology delivers radiation to the penis from outside the body. Exterior beam radiation therapy is often carried out 5 days every week for six - eight weeks. Support Groups Becoming a member of a support group the place members share common experiences and issues could help relieve the stress related to prognosis and treatment of penile - penis. Outlook (Prognosis) The end result might be good with early prognosis and treatment. The 5-12 months survival charge for penile cancers is sixty five%. Urination and sexual operate can usually be maintained even when a good portion of the penis is removed. Doable Complications Most cancers of the penis steadily spreads to different parts of the body (metastasizes) early in the middle of the disease. When to Contact a Medical Professional Call your well being care supplier if symptoms of penis most cancers develop. Prevention Circumcision may lower the risk. Men who aren't circumcised ought to be taught at an early age the significance of cleaning beneath the foreskin as a part of their private hygiene. Good personal hygiene and safer sexual practices, similar to abstinence, limiting the number of sexual companions, and use of condoms to prevent HPV an infection, might lower the risk of developing penile most cancers. References Pettaway CA, Lynch DF, Davis JW. Tumors of the penis. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 31.
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