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Practice patterns among penile cancer surgeons performing dynamic sentinel lymph node biopsy and radical inguinal lymph node dissection in men with penile cancer: A eUROGEN survey
Fankhauser, Christian D Ayres, B. E. Issa, Allaudin Albersen, M. Watkin, N. Muneer, A. Sangar, Vijay K Parnham, Arie S
Fankhauser, Christian D
Ayres, B. E.
Issa, Allaudin
Albersen, M.
Watkin, N.
Muneer, A.
Sangar, Vijay K
Parnham, Arie S
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Abstract
Dynamic sentinel lymph node biopsy (DSNB) and radical inguinal lymph node
dissection (ILND) are important in the management of penile cancer patients, but
high-level evidence for preoperative, perioperative, and postoperative management
remains scarce. According to an online survey of 35 surgeons from ten
European countries, 57% perform >10 ILND procedures per year and 86% offer
DSNB. Furthermore, management differs substantially for dye injection site, use of
lymphoscintigraphy, preferred incision sites, techniques for lymphatic control,
duration of empiric antibiotic therapy, perioperative thromboprophylaxis, time
points for drain removal, and definition of the ILND dissection
floor. Consensus was
observed for the use of perioperative antibiotics (although not duration and type)
and the borders for ILND template definitions. We conclude that there is significant
variation in patient management among eUROGEN penile cancer surgeons. This
heterogeneity may confound multicentre studies; therefore, a consensus to standardise
inguinal node management in penile cancer across European penile cancer
centres is warranted.
Patient summary: Our survey reveals that preferences and surgical techniques for
inguinal lymph node sampling and removal varies significantly between European
penile cancer surgeons. Consensus is needed to standardise the management
approach for penile cancer.
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Date
2021
Publisher
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Citation
Fankhauser CD, Ayres BE, Issa A, Albersen M, Watkin N, Muneer A, et al. Practice Patterns Among Penile Cancer Surgeons Performing Dynamic Sentinel Lymph Node Biopsy and Radical Inguinal Lymph Node Dissection in Men with Penile Cancer: A eUROGEN Survey. European Urology Open Science. 2021;24:39-42.