Role of carbon dioxide laser in early stage carcinoma penis: An organ preservation approach

Ravi Arjunan; Durgesh kumar; Neharika; Girish MS; Rekha V Kumar

Role of carbon dioxide laser in early stage carcinoma penis: An organ preservation approach

Author(s)
Ravi Arjunan, Durgesh kumar, Neharika, Girish MS and Rekha V Kumar

Abstract
Introduction: Penile cancer is more common in Indian subcontinent compared to western world. Majority of patients present with advance stage. For them partial or total penectomy is the only option but for the early stage diseases organ preservation should be the goal. Organ preservation is associated with better functional and cosmetic outcomes with good quality of life.

Aims: In this study we analysed the results of CO2 laser in the management of early stage penile cancer with a goal of organ preservation and both short and long term outcomes of laser.

Material and Methods: It was a retrospective observational study of 17 patients of stage T1 carcinoma penis who underwent CO2 laser excision between 2012 to 2015.we evaluated the role of laser excision in early penile cancer as a penile preservation modality. Proximal and base margins analysed retrospectively.

Results: The median follow-up was 15 months (range, 3â€“31 months). There was no cancer specific mortality but two (11%) patients developed recurrence in 17-20 months post treatment. One patient underwent partial penectomy and other patient had repeat laser excision. Penis was preserved in all cases. All patients were satisfied with the cosmetic and functional outcome.

Conclusion: CO2 laser is associated with good outcome and organ preservation rate and could be used as important tool in managing early penile cancers.

Pages: 90-93 | 786 Views 65 Downloads

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IMPACT FACTOR (RJIF): 8.4

Vol. 4, Issue 5, Part B (2018)

Role of carbon dioxide laser in early stage carcinoma penis: An organ preservation approach

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