Assessing Lymph Nodes and Distant Metastases

There are several approaches to determining whether there is nodal involvement due to penile cancer. At the simplest level the nodes may be palpated. Next, we may use imaging to assess not only size, but morphology of the nodal chain. Functional techniques such as PET or MR lymphography may add further information, and finally we may use histology: either by fine needle aspiration, biopsy, sentinel lymph node biopsy, or lymphadenectomy. We will discuss the performance of each of these investigations, and at the end of this section address the appropriate nodal staging investigations for different grades of disease.

Dealing With Erectile Dysfunction

Dealing With Erectile Dysfunction

Whether you call it erectile dysfunction, ED, impotence, or any number of slang terms, erection problems are something many men have to face during the course of their lifetimes.

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