Abstract

Squamous cell cancer of the penis is a radiocurable malignancy all too often managed by a radical surgical approach, consisting of either partial or total penectomy. Effective management of the primary tumor, while preserving penile morphology and function, has come to the forefront in multidisciplinary tertiary referral centers. In addition to more sophisticated surgical techniques, both external radiotherapy and brachytherapy have a role to play in the definitive management of the primary tumor, with 5-year penile preservation rates reported at 60 % and 85 % respectively. Given the ubiquity of high-dose rate (HDR) afterloaders in most radiotherapy departments, there is interest in transitioning from the low-dose rate brachytherapy experience to the convenience, safety, and economy of HDR brachytherapy.

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