If you have earthworm-like hard tendons on your penis, you should pay special attention to it. Sometimes it is a symptom caused by a certain disease in your body, not a physiological factor. People should still find the right cause and then treat it, because it is related to the sexual function of male friends. If it is not treated and relieved in time, male friends will have some sexual dysfunction and andrological diseases. 1. Penile cancer is a common reproductive system tumor. In the 1950s and 1960s, it ranked first in the incidence of male urogenital tumors in China. In recent years, with the improvement of people's living standards and the continuous improvement of medical and health conditions, its incidence has been declining year by year. 2. Most penile tumors are penile cancers that originate from penile epithelial cells. Phimosis and prepuce are recognized as the causes of penile cancer. Penile cancer is a malignant tumor that can be prevented. Studies have found that circumcision in infancy or childhood can effectively prevent the occurrence of this disease. For those with long prepuce that can be turned up, regular cleaning can also prevent cancer. 3. Treatment methods: Nowadays, there are many treatment methods for penile cancer, including surgery, chemotherapy, radiotherapy, laser, cryotherapy and photosensitization, but surgical removal of the cancer is still the main method, among which partial penectomy is the most commonly used procedure. Patients can easily accept it because of its advantages such as simple surgery, effective treatment, ability to maintain partial sexual function, and ability to urinate while standing. Pathological morphological observations have confirmed that although some penile cancers grow outward like cauliflower, they do not infiltrate deeply inward. Therefore, we believe that partial penectomy is a very reasonable and effective treatment method for stage I and II penile cancer. As long as the resection end is more than 2.0 cm away from the edge of the cancer and the normal penis can be retained at 2.0-3.0 cm, it can be used without complete penectomy. Once metastasis is confirmed, radiation therapy or secondary surgical clearance should be performed. 5. Patients with penile cancer often develop enlarged inguinal lymph nodes, which are mostly caused by secondary infection, and only a few are metastasis. Researchers believe that the principles of treatment are: ① When removing the penile tumor, the inguinal lymph nodes that have no signs of cancer metastasis should also be routinely biopsied. If positive, ilioinguinal lymph node dissection should be performed within 2-4 weeks after the operation. ② For patients suspected of lymph node metastasis, a frozen section of the lymph nodes should be examined before removing the penile tumor. If it is positive and the patient can tolerate it, a primary ilioinguinal lymph node dissection should be performed immediately. ③ For patients with larger and harder inguinal lymph nodes that show signs of cancer metastasis, even if the lymph node biopsy is negative, an inguinal lymph node dissection should be performed. ④ If the sentinel lymph node is enlarged and biopsy confirms cancer metastasis, the surgical scope should be expanded to perform inguinal lymph node dissection. Patients who have not undergone inguinal lymph node dissection need to be closely observed for 3 months after discharge. If the local lymph nodes do not shrink but enlarge, a pathological examination should be performed immediately. If positive, ilioinguinal lymph node dissection should be performed. If preoperative lymphangiography confirmed inguinal lymph node metastasis or iliac lymph node metastasis, iliac inguinal lymph node dissection was performed. |
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