Assessment of Inguinal Lymph Nodes

The key issue in lymph node staging is the unreliability of the currently available modalities which detect occult nodal involvement. However, given that early resection of the inguinal lymph nodes is associated with a therapeutic benefit,24-26 it is imperative that those patients with metastatic disease in the inguinal lymph nodes undergo an inguinal lymphadenectomy at the earliest possible time. Unfortunately the high morbidity rate associated with performing an elective inguinal lymphadenectomy makes the operation unsuitable for every penile cancer patient who does not have inguinal nodal involvement. Hence there is uncertainty about the timing of lymphadenectomy as well as identifying those patients who would benefit. However, three clinical groups can be identified: those with clinically node-negative (cN0) groins, those with palpable inguinal lymph nodes (cN+), and those with immobile (fixed) inguinal lymph nodes.

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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