[Cancer of the penis: cooperative group of the province of Cadiz.(Andalusian Association of Urology)].

Analysis of 26 patients diagnosed with carcinoma of the penis in the various Urology Services in the Hospitals of the Province of Cádiz. The age range of this series, which were diagnosed between May 1990 and May 1995, was 40 to 81 years (mean age, 63 years) and, in most cases, they presented to their respective Services as a result of an exophytic injury either in the glans, the prepuce or in the balanopreputial grove. In eight cases (30.7%) the patient had phimoses. During examination of the inguinal area 7 had adenopathy (26.9%). Of these 7 patients with palpable inguinal adenopathy, three (42.8%) had an infective-inflammatory condition. With regard to the radiological examination used, all patients has a CAT performed. The result of this examination was found to be normal in 19 patients (73.0%), while adenopathy was seen in the 7 remaining cases (27.0%), four at one nodular chain level and three in both nodular chains. With regard to treatment, directed to the primary tumour and to the lymph nodes, partial penectomy was performed in five patients (19.2%), total penectomy with emasculation in two patients (7.6%) while the one remaining patient (3.8%) did not undergo surgery because of his poor general health condition. Lymphadenectomy was carried out in 4 of the 7 patients (4/7) with adenopathy in the CAT. In 2 patients, the adenopathy disappeared after antibiotic therapy and primary tumour exeresis. The other patient with adenopathys in the CAT was the one who did not undergo surgery due to his poor general health status (1/7).