Urology>>>>> Penile Cancer
Question 9#

Which of the following is NOT a recognised treatment option for penile intraepithelial neoplasia (PeIN)?

A. Wide local excision (WLE) with circumcision
B. Laser therapy
C. Topical 5 flurouracil (5 FU) or imiquimod
D. Radiotherapy
E. Total glans resurfacing surgery

Correct Answer is D

Comment:

Answer D

All of the answers except radiotherapy are genuine treatment options in contemporary urological practice. Small areas of disease can be managed by either WLE or topical therapy with 5 FU or Imiquimod creams. Laser therapy with CO2 or Nd:YAG has been well reported. Total glans resurfacing surgery tends to be reserved for disease refractory to the above or extensive PeIN on the glans penis. Circumcision is strongly recommended in these patients as it removes a potential site of recurrence, makes surveillance and topical treatment easier.