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Background/Objective <p>The primary treatment for penile squamous cell carcinoma (PSCC) is often partial or total penectomy, which causes significant functional morbidity and psychological distress. Brachytherapy (BT) has emerged as a primary, organ-preserving alternative. The objective of this systematic review was to analyze the oncologic efficacy, organ preservation rates, and functional outcomes of LDR, PDR, and HDR brachytherapy.</p> Methods <p>This systematic review (PROSPERO: CRD420251136499) followed PRISMA guidelines. We searched PubMed, Scopus, ScienceDirect, and Google Scholar (to August 2025) for studies (<i>n</i> ≥ 10) reporting clinical outcomes of LDR, PDR, or HDR brachytherapy for adult penile cancer. Risk of bias was assessed using NIH tools and the Cochrane RoB tool. Due to high heterogeneity in study design and treatment techniques, a quantitative synthesis (narrative) was performed.</p> Results <p>Eighteen studies were included. Five-year cancer-specific survival (CSS) ranged from 85.0 to 100% across 9 studies that explicitly reported this metric. Local failures, when they occurred, were demonstrated to be highly salvageable (77–100% success).</p> Conclusions <p>The evidence, though limited and highly heterogeneous, confirms that penile brachytherapy is an effective, curative-intent, organ-sparing treatment for T1–T2 disease.</p>

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Organ-sparing radiotherapy in penile cancer: therapeutic approaches

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月17日

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  • Avraam Muresan,
  • Mihai Domnutiu Suciu,
  • Vlad Horia Schitcu,
  • Victor Ona,
  • Norberth-Istvan Varga,
  • Cristina Maria Muresan,
  • Gabriel Kacso

摘要

Background/Objective

The primary treatment for penile squamous cell carcinoma (PSCC) is often partial or total penectomy, which causes significant functional morbidity and psychological distress. Brachytherapy (BT) has emerged as a primary, organ-preserving alternative. The objective of this systematic review was to analyze the oncologic efficacy, organ preservation rates, and functional outcomes of LDR, PDR, and HDR brachytherapy.

Methods

This systematic review (PROSPERO: CRD420251136499) followed PRISMA guidelines. We searched PubMed, Scopus, ScienceDirect, and Google Scholar (to August 2025) for studies (n ≥ 10) reporting clinical outcomes of LDR, PDR, or HDR brachytherapy for adult penile cancer. Risk of bias was assessed using NIH tools and the Cochrane RoB tool. Due to high heterogeneity in study design and treatment techniques, a quantitative synthesis (narrative) was performed.

Results

Eighteen studies were included. Five-year cancer-specific survival (CSS) ranged from 85.0 to 100% across 9 studies that explicitly reported this metric. Local failures, when they occurred, were demonstrated to be highly salvageable (77–100% success).

Conclusions

The evidence, though limited and highly heterogeneous, confirms that penile brachytherapy is an effective, curative-intent, organ-sparing treatment for T1–T2 disease.