Background. Experience with diagnosis and results of the treatment cancer of the penis are
comparatively sparse. We present our experience and treatment results of patients with this diagnosis.
Methods and Results. The group of 286 patients were diagnosed and treated between 1981–2006 at the
First Medical School, Charles University, Prague, Department of Urology , District Hospital Ústí nad
Labem. and University Hospital Na Bulovce, Department of Urology, Prague. Average age of the
patients was 55 year. In 93% of cases the disease originated from an untreated phimosis Squamous cell
cancer was found in 91% of the biopsies. Organ preserving surgery was done in 108 patients. Interstitial
brachytherapy Ir 192 was first used as organ preserving treatment modality for patients with SCC in
Czech Republic. 106 inguinal lymphadenectomies were performed, in 41 cases in a modified form. For
the patients with positive lymph nodes, chemotherapy as neoadjuvant or adjuvant treatment approach
was indicated. Actinotherapy was indicated minimally. Treatment complications intra- or postoperative
were minimal. From our cohort 79.7 % patients survived, 39.8 % of them survived more than 10 years.
Conclusions. We recommended concentrating patients with this relatively rare disease to the special
department with complete diagnostic and treatment care.
cancer of the penis, phimosis-squamous cell cancer, interstitial brachytherapy, inguinal
lymphadenectomy, chemotherapy, actinotherapy.