Neoplastic lesions of the penis are rare and the majority of patients will present with lesions affecting the glans and prepuce. Penile-preserving surgical techniques are now well established and result in excellent functional and cosmetic results.1-3 However, up to 14% of patients may present with locally advanced primary disease in association with extensive inguinal metastases due to an aggressive histological subtype or a delayed presentation. There may also be extension of tumor into adjacent organs such as the prostate, rectum, and bladder as well as osseous structures. Extensive metastatic disease within the inguinal regions also presents a therapeutic challenge as the presence of extranodal disease with involvement of skin, subcutaneous tissue, muscle, and femoral vessels renders it unresectable. With such advanced disease, there may be little option but to commence palliative treatment as the prognosis is generally very poor.

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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