A 60-year-old man presents with a 2.5 cm squamous cell carcinoma of the glans penis. There is no involvement of the corpora cavernosa, and no palpable inguinal nodes. What is the preferred surgical management?

• A Total penectomy with perineal urethrostomy
• B Partial penectomy with 2 cm margin
• C Organ-sparing surgery (wide local excision/glansectomy) ✓
• D Primary chemotherapy and radiotherapy

Explanation

For tumors <4 cm confined to the glans without corporal invasion, organ-sparing surgery (wide local excision or glansectomy) is preferred to preserve function and cosmetics, as long as a 5-10 mm clear margin can be achieved. Partial penectomy is for distal shaft involvement.

Reference: Campbell-Walsh-Wein Urology, 12th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.