In the majority of developed countries, cancer of the penis is an uncommon disease, but it is a significant health and social problem in regions of Africa, Asia, and South America. Squamous cell carcinoma, the most frequent penile cancer, is a malignancy where the behavior is commonly predictable and cure, in initial stages, may be achieved in many instances by partial or total penectomy. On the other hand, more advanced disease comprising regional lymph node or distant metastases has worse and unpredictable outcomes.
There are many controversies regarding the management of all aspects of this cancer, including prevention, staging, treatment options and health policy. The International Consultation on Penile Cancer was designed to present state-of-the-art information on, and understanding of the many aspects of this neoplasia that factor into decisions related to its assessment and therapy. It represents the consensus recommendations of the 8 committees that met in Milan (2008), Santiago (2008) and Chicago (2009) on the occasion of EAU, SIU and AUA meetings. The task of the committee members was to review the literature based on the best evidence, write a text overview of each chapter and finally make recommendations.
On behalf of the ICUD and its steering Committee we want to thank the chairmen and members,
composed of representatives of the major urological associations (SIU, AUA, EAU, UAA, CAU) for
meeting the highest expectations.
Now it is time to share this textbook with the readers in the hope that the concepts contained will prove useful as information base in approaching their patients and also as stimulation for further studies.
We are very grateful to Drs. Saad Khoury and Paul Abrams of the SIU for having permitted us to
organize and edit this book.
Antonio Carlos L. Pompeo, MD, Professor of Urology, ABC Medical School, São Paulo, Brazil,
Chris Heyns, MD, Professor of Urology, University of Stellenbosch and Tygerberg Hospital, South Africa,
Paul Abrams, MD, Professor of Urology, Bristol Urological Institute, Southmead Hospital, Bristol,
United Kingdom, SIU Consensus and Education Committee Chairman
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