Penile cancer is a rare anomaly. Primary tumor and lymphnodes metastasis managements are essential. Nowadays, there is a growing wish for less invasive but curative treatment.
Aims and methods: Newest opportunities of the management of penile cancer are reviewed according to the recent literature by the authors. It is a serious challenge and also aims to preserve a cosmetically acceptable looking penis. Because of the morbidity of the inguinal lymphadenectomy, the possibilities of less invasive procedures are shown.
Results: Development of surgical management and re-evaluation of previous serious guidelines made possible to introduce the organ preserving surgery. Midterm oncological results are similar either performing penectomy or organ preserving surgery. Most recent knowledge in the diagnosis and management of sentinel lymph nodes helps to decrease the morbidity of the procedure and assists in faster recovery of patients.
Conclusion: Extension of penis preserving technique makes possible to avoid amputation with safe oncological result. More accurate evaluation of inguinal lymph-node status is possible with the latest diagnostic examinations. Morbidity of removal of lymph-nodes can be significantly decreased with development of the procedure.