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The large variations in penile cancer rates throughout the
world strongly suggest that penile cancer is a preventable disease. The
best way to reduce the risk of penile cancer is to avoid known risk
factors whenever possible.
In the past, circumcision has been suggested as a way to
prevent penile cancer. This suggestion was based on studies that
reported much lower penile cancer rates among circumcised men than
among uncircumcised men. However, most researchers now believe those
studies were flawed because they failed to consider other risk factors,
such as smoking, personal hygiene, and the number of sexual partners.
Most public health researchers believe that the risk of penile
cancer is low among uncircumcised men without known risk factors living
in the United States. Most experts agree that circumcision should not
be recommended as a way to prevent penile cancer.
Perhaps the most important factor in preventing penile cancer
in uncircumcised men is good genital hygiene. Most public health
experts recommend that uncircumcised men practice good genital hygiene
by retracting the foreskin and cleaning the entire penis. If the
foreskin is constricted and difficult to retract, a doctor may be able
to cut the skin to make retraction easier.
All men should do what they can to avoid infection with HPV.
In addition to decreasing penile cancer risk, this could have an even
bigger impact on the risk of cervical cancer in female partners. Using
condoms ("rubbers") can lower the chance of HPV infection, but they
cannot completely prevent infection. This is because HPV can be passed
from one person to another by skin-to-skin contact with an HPV-infected
area of the body that is not covered by a condom -- like the skin in
the genital or anal area. Still, it is important to use condoms to
protect against AIDS and other sexually transmitted diseases that are
passed on through some body fluids.
Infection with HPV can be present for years without any
symptoms; so the absence of visible warts cannot be used to tell if
someone has HPV. Even when someone doesn't have warts (or any other
symptom), he (or she) can still be infected with HPV and pass the virus
to somebody else.
Delaying sex until you are older can help you avoid HPV
infection. It also helps to limit your number of sexual partners and
avoid having sex with someone who has had many other sexual partners.
Vaccines have been developed to help prevent infection with
some types of HPV. Right now, there is an HPV vaccine that has been
approved for use in the United States. by the Food and Drug
Administration (FDA). This vaccine is called Gardasil®,
and it
protects against HPV types 6, 11, 16, and 18. The vaccine works best if
it is given before the person starts having sex (and being exposed to
HPV). In studies of women, Gardasil helped prevent genital warts caused
by HPV types 6 and 11. It also prevented pre-cancers and cancers of the
cervix caused by HPV types 16 and 18. This vaccine is currently
approved for use in young females and is being studied for use in men.
The hope is that HPV vaccines may eventually help prevent other cancers
linked to HPV, including penile cancers.
Smoking also increases penile cancer risk. It can also cause
other more common cancers, as well as serious conditions such as heart
disease and stroke. Quitting smoking or never starting in the first
place is a good way to prevent many diseases, including penile cancer.
Some men with penile cancer have no known risk factors, so it
is not possible to completely prevent this disease.
Last Revised: 07/11/2008
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