T2 Lesions Confined to the Glans Penis

Distal penile tumors (Fig. 6.2) involving the glans penis or distal corporal heads are traditionally successfully managed by performing a partial penectomy. Patients with such lesions can now benefit from penile-preserving surgery which maintains penile length and has a better cosmetic result. Austoni and coworkers highlighted the anatomical distinction between the corpora cavernosa and the corpus spongiosum and proposed glansectomy as a surgical option for patients with penile cancer confined to the glans.4 1 Approximately 80% of all cases of invasive penile carcinoma are potentially amenable to this operation. The extent of tumor invasion is confirmed with preoperative MRI imaging, with intracavernosal prostaglandin induced erection (Chap 4).42,43

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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