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Penile Cancer FAQs
Penis cancer is very rare.
What is it?
Just about every man's worst nightmare.
What are the main symptoms?
- A lesion (lump) on the penis, which may look like a wart or spot; occasionally the lesion may be painful.
- A painless sore on the penis.
- Pain and bleeding may occur with advanced disease.
What's the risk?
Penile cancer is very rare — there's just one case for every 100,000 men each year in the UK — but uncircumcised men over 60 are at greater risk.
What causes it?
The exact cause of penile cancer is unknown. However, build-up of smegma (a smelly, cheese-like substance) under the foreskin is believed to be a factor because it can lead to chronic (i.e. long-term) inflammation. The disease is almost unknown among men who were circumcised shortly after birth.
How can I prevent it?
Your best bet is to wash your penis thoroughly every day, especially if you are uncircumcised.
Should I see a doctor?
You should see your doctor immediately if you find a lump on your penis. Your GP will perform a physical examination that can rule out any other conditions. He or she can refer you on to a hospital specialist for more detailed assessment.
What are the main treatments?
The treatment depends on the size and location of the tumour.
The first step is usually removal of the lump combined with circumcision. If the lump is too large to be removed without causing disfigurement then the surgeon will take only a small portion for analysis (biopsy). If penile cancer is confirmed then other options are possible:
- If the tumour was completely removed during the initial operation, then the condition can often be managed by a series of regular check-ups.
- If some cancer cells have been left behind then it may be appropriate to give X-ray treatment (radiotherapy) to the penis to avoid the need for further surgery.
- In advanced cases, then some or all of the penis may need to be removed (partial or total penectomy).
- If the disease has spread to involve the rest of the body then chemotherapy may be required. You will need to go into hospital for the first few doses of the chemotherapy drug to check for adverse side-effects.
How can I help myself?
If you are uncircumcised, you should clean behind your foreskin regularly.
What's the outlook?
The outcome can be good if you are diagnosed and treated early. However, cancer of the penis often spreads to other parts of the body in the early stages of the disease. If the disease has not reached the lymph glands then between 65% and 90% of men survive for five years or more.
If a partial or total penectomy is performed then a new exit point for the urethra (water pipe) will have been fashioned at the time of surgery (this procedure is known as a urethrostomy). Sexual functioning can be maintained even when a large part of the penis has been removed, although your erection will be impaired. You will need time to get used to the appearance of the penis. It is likely to be distressing at first and counselling may be helpful. Joining a support group of other men affected may also help.
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Date published
07/04/14
Date of last review
07/04/14
Date of next review
03/04/17
References
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The Men’s Health Forum need your support It’s tough for men to ask for help but if you don’t ask when you need it, things generally only get worse. So we’re asking. In the UK, one man in five dies before the age of 65. If we had health policies and services that better reflected the needs of the whole population, it might not be like that. But it is. Policies and services and indeed men have been like this for a long time and they don’t change overnight just because we want them to. It’s true that the UK’s men don’t have it bad compared to some other groups. We’re not asking you to ‘feel sorry’ for men or put them first. We’re talking here about something more complicated, something that falls outside the traditional charity fund-raising model of ‘doing something for those less fortunate than ourselves’. That model raises money but it seldom changes much. We’re talking about changing the way we look at the world. There is nothing inevitable about premature male death. Services accessible to all, a population better informed. These would benefit everyone - rich and poor, young and old, male and female - and that’s what we’re campaigning for. We’re not asking you to look at images of pity, we’re just asking you to look around at the society you live in, at the men you know and at the families with sons, fathers and grandads missing. Here’s our fund-raising page - please chip in if you can.
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