Publication:

A clinicopathological study of carcinoma penis in a rural population in Southern India

Background Carcinoma penis is not an uncommon malignancy in rural population. The various epidemiological, clinical and pathological factors were analysed and compared with the global standards. To analyse the epidemiological, clinical, and pathological characteristics of carcinoma penis and their influence on the outcome of management strategies adopted.

Methods This prospective study was conducted in government Villupuram medical college hospital Villupuram between July 2015 and July 2017 over 42 new carcinoma penis cases that were treated in the department of general surgery. Particularly about the site of origin of the lesion whether prepuce, glans, corona, or shaft.

Results The most common presenting symptom in our study was the growth. It constitutes about 71% of the cases. Ulcer and discharge are seen in 24 and 3 percent of cases respectively. Most of the cases present with multiple symptoms. Apart from these symptoms urinary disturbance and weight loss are the most common associated symptom. Pain is absent in most of the cases unless there is a superadded infection. Nodal disease as a presenting symptom is not seen in our study. But 3 patients present recurrence as nodal disease after treatment of primary.

Conclusions Screening of the high-risk age group will decrease in unnecessary delay in presentation of the disease. Educating about the personal hygiene will decrease the possible etiology of the disease. Improving the self-discipline by cessation of smoking and avoiding extramarital contact will significantly decrease the disease frequency.