A simple biopsy proves the diagnosis and can be performed under local or general anaesthetic. If picked up early organ preserving surgery could be contemplated depending upon the extent and nature of the tumour. Such a surgery helps to preserve the length of penis as well helps in patients confidence.Presenting at an advance stage may require removal of part or total male organ and may need alternative way of arranging the urine flow. Your treating surgeon will discuss with you the details of such an operation.
In addition , penile cancer may spread to the regional lymphnodes in the groin . These needs to be tested with scans and biopsy and if needed operation will be required. Like any cancer, penile cancer patients needs long term follow up and the treating surgeon will guide you in this process.