Salvage Post Radiotherapy

McClean and colleagues reported that up to 40% of patients undergoing radical radiotherapy require salvage surgery for local recurrence.61 The chronic skin changes associated with radiotherapy make clinical detection of disease recurrence difficult. Watkin's group published their data on 17 patients with this problem. Patients were treated over a 7 year period, presenting at a mean of 9 years (range

1-29) post radiotherapy. All 17 patients underwent salvage surgery, 14/17 with total glansectomy and skin graft reconstruction. Despite some technical challenges with brittle non-compliant tissues, all the grafts took well. Fifteen of 17 (88%) were found to have tumors ranging from G1T1-G3T2a. At a mean follow-up of 3 years (range 1-6) 16/17 men were recurrence free and none had metastatic nodal disease. The authors concluded that all chronic ulceration and non-healing tissue should be treated as malignancy until proven otherwise.54

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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