Introduction

Although the EAU guidelines for penile cancer suggest that the only mandatory imaging modality required is an ultrasound of the inguinal nodes,1 a variety of other radiological techniques can provide further information with regards to the extent of the primary tumor as well as metastatic disease. These techniques have an important role in both the oncological and surgical planning for the primary tumor as well as the inguinal and pelvic lymph nodes.

We will initially describe the radiological anatomy of the penis and its draining nodes, as well as some techniques for scanning with ultrasound and MRI. Next, we will address local staging. We finish with the assessment of nodal and metastatic spread, and an outline of the use of imaging in penile cancer.

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