There are indications that many of the obstacles to progress are being overcome with higher quality research being carried out. There are a number of international collaborations, for example the International Consultation in Urologic Disease on Penile Cancer held in Santiago, Chile, brought together leaders in the field from throughout the world and resulted in guidelines published covering penile cancer in detail (November 2008 - full report available at [email protected]).

A nonprofit foundation would be of particular benefit in the coordination of research with respect to soliciting and managing philanthropic contributions and the coordination distribution of funds through peer reviewed research grants. Countries with a low incidence of disease should develop super-regional referral systems similar to the UK model described above. Countries with a higher incidence of penile cancer can provide resources in terms of clinical data and tissue. Collaboration across the developed and developing worlds, along with better funding, is a key to the success in the expanding our understanding and improving the management of penile cancer.

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