Treatment of penile cancer (cancer of the penis) will depend on the stage and grade of the cancer. It will also depend on your general health. Different treatments can be used, including surgery, radiotherapy or chemotherapy. You may have a combination of treatments.
Penile cancer is treated at specialist hospitals or clinics by doctors who are experts in this cancer. This means you may have to travel further away from your local hospital for treatment.
Some treatments for penile cancer can affect your ability to make someone pregnant (your fertility). If you are worried about this, it is important to talk with your doctor before you start treatment.
We have more information about fertility after treatment for men.
Tis, means the cancer cells are only in the top layer of skin. Some doctors call Tis pre-cancerous or non-invasive, because the cells have not spread below the surface of the skin.
There are different types of treatment for Tis. Your doctor will talk to you about the treatment they think is most suitable for your situation.
You may have one or more the following treatments:
Surgery to remove the foreskin (circumcision) can be done under local or general anaesthetic. You may be able to go home on the same day.
Heat (laser treatment) may be used to destroy the cancer cells.
It may be possible to remove Tis by freezing the cancer cells. This is called cryotherapy. Your doctor uses a probe with liquid nitrogen to freeze the affected area. Afterwards the area usually forms a blister, which will dry and form a scab. After about 1 or 2 weeks, the scab usually drops off.
Tis can be treated with cream containing a chemotherapy drug called fluorouracil (5FU). You apply the cream to the affected area on the penis. This does not cause the side effects people usually have with chemotherapy into a vein. Your nurse will show you how to apply the cream and how to use it safely.
A type of cream called imiquimod (Aldara®) can be used to treat Tis. It works by stimulating your immune system to destroy the cancer cell.
Larger cancers of the penis may need surgery to remove them. Radiotherapy can sometimes be used instead of surgery. Chemotherapy can sometimes be given before or after surgery.
You may have one or more of the following treatments:
Surgery is the main treatment for cancers of the penis that are larger. Surgical techniques have improved over time. It is usually possible to keep the appearance of the penis.
Many men are still able to have erections after surgery that preserves the penis. Some men may need surgery to remove part, or all, of the penis. It may be possible to have surgery to reconstruct the penis later.
Radiotherapy uses high-energy rays to destroy cancer cells. It may sometimes be used instead of surgery. It may be given to lymph nodes in the groin after surgery.
Radiotherapy can cause side effects. The skin on the penis and groin may redden or get darker. It may become dry, flaky and itchy. Towards the end of treatment, your skin may become moist and sore. Your radiographer or nurse will talk to you about how to care for your skin. The hair around the genital area may fall out. The penis and scrotum area may become swollen, but this should improve.
We have more information about the side effects of radiotherapy.
Chemotherapy uses anti-cancer drugs to destroy cancer cells. It is sometimes given before surgery, to make it easier to remove the cancer. It can also be given after surgery to reduce the risk of the cancer coming back. Or it can be used if the cancer has spread to other parts of the body.