Organ-Preserving Surgery for Penile Carcinoma

Table 2

Organ-preserving therapeutic strategies for penile carcinoma.

A nonsurgical
(1)	Topical treatments	5-Fluoroacil solution
		Imiquimol cream
(2)	Radiotherapy	Plesiotherapy
		Interstitial brachytherapy
		External beam radiotherapy
(3)	Cryosurgery
(4)	Chemotherapy
(5)	Immunotherapy
B Surgical
(1)	Laser ablation or excision	CO2
		Nd:YAG
		KTP
(2)	Mohs micrographic surgery
		Circumcision
(3)	Conservative surgery	Glans-preserving techniques	Partial glansectomy	with primary closure
				with graft reconstruction of the glans	Split-thickness skin grafts
					Full-thickness skin grafts
					Buccal mucosa
		Glans-removing techniques	Total Glansectomy	with split-thickness skin grafts
				with distal corporectomy and reconstruction