Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a persistent penile lesion noted for [duration]. Symptoms include [pain/pruritus/bleeding/foul-smelling discharge]. No history of prior penile trauma or STIs. Patient reports [presence/absence] of inguinal lymphadenopathy. No constitutional symptoms of weight loss or fever.
Clinical Examination Findings
Genitourinary exam reveals a [size in cm] [ulcerated/exophytic/indurated] lesion located on the [glans/prepuce/coronal sulcus]. Lesion is [fixed/mobile] to underlying structures. Palpation of inguinal regions reveals [soft/firm/fixed] lymphadenopathy [unilateral/bilateral]. No signs of phimosis or paraphimosis.
Treatment Protocol
Plan: 1. Incisional/Excisional biopsy for histopathological confirmation. 2. Staging via MRI pelvis/CT chest-abdomen-pelvis. 3. Surgical options: [Wide local excision/Partial penectomy/Total penectomy] with [sentinel lymph node biopsy/inguinal lymph node dissection]. 4. Referral to Oncology for adjuvant [radiotherapy/chemotherapy] if indicated.