Inclusion criteria | 1. Patients requiring inguinal lymphadenectomy |
---|---|
a) Patients with squamous cell carcinoma or mucosal melanoma of the penis > T1bG2 or patients with urethral cancer requiring inguinal lymphadenectomy | |
b) Patients unsuitable for dynamic sentinel node biopsy (DSNB) with impalpable nodes (previous penectomy or non-visualisation at previous DSNB) | |
c) Previous DSNB with metastatic inguinal nodes on histology or FNA-positive nodes on cytology who require a completion radical inguinal lymphadenectomy | |
d) Small volume palpable inguinal lymph nodes (< 2 cm on CT) not fixed to skin | |
2. Aged > 18 years | |
Exclusion criteria | 1. Unfit for surgery |
2. People unlikely to benefit from lymphadenectomy because of advanced cancer | |
3. Those with palpable inguinal lymph nodes fixed to skin or adjacent structures | |
4. Does not want to participate in the trial or unable to provide informed consent |