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Penile Cancer (Pathophysiology (Small lesion on the glans or prepuce,…
Penile Cancer
Pathophysiology
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white-grey, irregular exophytic to reddish flat and ulcerated endophytic masses
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The more extensive the lesion, the greater the possibility of local invasion and nodal metastasis
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Untreated, penile autoamputation can occur
Nursing Diagnosis:
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Inneffective Sexual Pattern r/t changes AEB ulcers, lumps, warlike growth on penis skin
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However, the exact cause remains unclear. Because of the rarity of penile cancer, there has been little improvement in diagnostic and staging tests, understanding of risk factors, and development of treatment modalities.
Diagnostic Procedures
- Biopsy (incisional/excisional)
- CT
- MRI
- Ultrasonography
Treatment
- Varies on type and stage, location of the lesion, & overall physical health and personal preferences about treatment and side effects.
- Surgery
- Simple excision
- Electrodesiccation
- Curettage
- Cryosurgery
- Mohs surgery (microscopically controlled surgery)
- Yttrium aluminum garnet (YAG) laser surgery
- Wide local excision
- Circumcision
- Surgical removal of part of the penis or the entire penis (penectomy)
- Organ sparing surgical procedures are mainly preferred
- Topical chemotherapy with 5-fluorouracil cream or biologic therapy
- Radiation therapy
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Nursing Dx:
- Ineffective coping r/t diagnosis of penile cancer aeb inability to deal with situational crisis
Intervention:
- Explain all treatments and procedures, and answer patient’s questions to allay fear and allow patient to regain sense of control.
Nursing Dx.
Pain R/T surgical amputation AEB restlessness, increase HR, BP, and self report of pain
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