Analyses of 200 Lymphadenectomies in Patients with Penile Carcinoma

Ornellas, Antonio Augusto
Seixas, Antonio Luiz Correa
De Moraes, João Rangel

From the Department of Urology, Instituto Nacional de Cancer, Rio de Janeiro, Brazil

Accepted October 26, 1990.

Journal of Urology 146(2):p 330-332, August 1991. | DOI: 10.1016/S0022-5347(17)37784-4

ABSTRACT

From 1972 to 1987, 200 consecutive lymphadenectomies were performed in 112 patients with squamous cell carcinoma of the penis. A Gibson incision provided exposure of the iliac and inguinal lymph nodes with a low morbidity rate (5% flap necrosis, 15% wound infection, 16% lymphedema and 9% lymphocele). The controversy surrounding the necessity of iliac lymphadenectomy is discussed, since 305 iliac lymph nodes examined did not have metastatic invasion.