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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

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    Authors
    Fankhauser, Christian D
    Ayres, B. E.
    Issa, Allaudin
    Albersen, M.
    Watkin, N.
    Muneer, A.
    Sangar, Vijay K
    Parnham, Arie S
    Affiliation
    Department of Urology, The Christie NHS Foundation Trusts, Manchester
    Issue Date
    2021
    
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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.
    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 Feb;24:39–42.
    Journal
    European Urology Open Science
    URI
    http://hdl.handle.net/10541/624513
    DOI
    10.1016/j.euros.2020.12.009
    PubMed ID
    34337494
    Additional Links
    https://dx.doi.org/10.1016/j.euros.2020.12.009
    Type
    Other
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.euros.2020.12.009
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