Is another surgery required after a partial penectomy?

Question

Hello doctor,

My father had a partial penectomy two weeks ago, and our doctor has suggested another surgery. I am sending his postsurgical reports.

Can you please let us know if surgery is required, and if he still has cancer?

Please suggest.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

All tumors have been removed, and resection margins are free. But the tumor involvement is deep inside, and so the surgeon wants further surgery so that the tumor does not come back after some time. Also, ultrasound reflects a reactive lymph node, and so your doctor might be planning for the removal of lymph nodes. Further surgery is needed to prevent the recurrence of cancer.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I mean, if we check the extent of the tumor, it involves all the layers. As mentioned in the report, it involves the tunica albuginea and other layers in the shaft, which involve the dartos muscle.

In ultrasound, lymph nodes are reactive, so they might have tumor involvement. One week's delay is fine, but this surgery should be done as soon as possible. You need to consult your surgeon also regarding the delay.

I hope this helps.

Thank you.