• Omer Onur Cakir, Fabio Castiglione, Zafer Tandogdu, Justin Collins, Hussain M Alnajjar, Clare Akers, Maarten Albersen, Constantine Alifrangis, Benjamin Ayres, Oscar Brouwer, Ivor Cullen, Peter Hawkey, Jakob Kristian Jakobsen, JohansenTruls Erik BjerklundTEBDepartment of Urology, Oslo University Hospital, Norway; Institute of Clinical Medicine, University of Oslo, Norway; Institute of Clinical Medicine, University of Aarhus, Denmark., Odunayo Kalejaiye, Asheesh Kaul, Bela Köves, Vivekanandan Kumar, Mariangela Mancini, Anita Vanessa Mitra, Arie Parnham, Edoardo Pozzi, Chris Protzel, Vijay K Sangar, Florian Wagenlehner, and Asif Muneer.
• Department of Urology, University College London Hospital, London, United Kingdom; Division of Surgery and Interventional Science, University College London, United Kingdom.
• Urol. Oncol. 2021 Mar 1; 39 (3): 197.e9-197.e17.

ObjectivesTo develop an international consensus on managing penile cancer patients during the COVID-19 acute waves. A major concern for patients with penile cancer during the coronavirus disease 2019 (COVID-19) pandemic is how the enforced safety measures will affect their disease management. Delays in diagnosis and treatment initiation may have an impact on the extent of the primary lesion as well as the cancer-specific survival because of the development and progression of inguinal lymph node metastases.Materials And MethodsA review of the COVID-19 literature was conducted in conjunction with analysis of current international guidelines on the management of penile cancer. Results were presented to an international panel of experts on penile cancer and infection control by a virtual accelerated Delphi process using 4 survey rounds. Consensus opinion was defined as an agreement of ≥80%, which was used to reconfigure management pathways for penile cancer.ResultsLimited evidence is available for delaying penile cancer management. The consensus rate of agreement was 100% that penile cancer pathways should be reconfigured, and measures should be developed to prevent perioperative nosocomial transmission of COVID-19. The panel also reached a consensus on several statements aimed at reconfiguring the management of penile cancer patients during the COVID-19 pandemic.ConclusionsThe international consensus panel proposed a framework for the diagnostic and invasive therapeutic procedures for penile cancer within a low-risk environment for COVID-19.Copyright © 2020. Published by Elsevier Inc.

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