As with all minimally invasive approaches, life-long follow-up is essential to ensure early detection of recurrence. Local recurrence rates for SCC using penile-preserving techniques can be as high as 30%, with the majority occurring in the first 2 years.7 9 While the recurrence rate for premalignant disease will be lower, a similar clinical follow-up schedule should probably be employed given its uncertain natural history and risk of malignant transformation in up to 30% of cases. Patients should be followed up 3 monthly for the first 2 years, reducing to 6 monthly to complete at least 5 years follow-up. Cases with proven HPV should also be referred for contact screening.
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