Challenges and Triumphs: a Case Report on Radical Penectomy and Perineostomy in Penile Cancer

Abstract

Penile cancer is a rare condition, affecting only about one out of every 100,000 men globally yearly. The risk of developing penile cancer significantly increases with factors like age, inadequate hygiene practices, and having a foreskin. A 62-year-old male patient presented with a complaint of painful urination, which he had been experiencing for the past four months, and this pain had worsened over the last month. The patient had a medical history of benign prostatic hyperplasia (BPH), an incarcerated hernia, and had developed ulcers on his penis four months ago. In this case, the patient's past issues with hygiene and smoking likely contributed to the development of penile cancer. However, in more advanced cases like this one, where the cancer had significantly progressed, necessitating the removal of the entire penile body, a radical penectomy was carried out. Subsequently, a perineal urethrostomy was created to provide an alternative route for urination. It is discovered at an advanced stage and requiring aggressive treatments makes penile cancer challenging to treat. A significant therapeutic option for advanced penile cancer is radical penectomy followed by perineal urethrostomy.