Follow up care for penile cancer patients

Summary

Once primary treatment for penile cancer is complete survivors usually visit a doctor or cancer care provider for regular checkups and consultations. There are various types of follow-ups for cancer patients, such as follow-up for surveillance and screening, assessment and management of long-term effects, health promotion, and care coordination.

Introduction

Once primary treatment for penile cancer is complete, survivors usually visit a doctor or cancer care provider for regular checkups and consultations. In other words, follow-up. How often cancer survivors should contact the doctors or care providers depends on factors such as; cancer stage and cancer type, type of treatment, patient’s requirement, and the hospital arrangement for follow up checkups.

The patients usually have to follow up appointments; to check how they are and see whether they have any problems or worries. The appointments also give the patient’s the chance to raise any concerns they have about their progress.

Follow up for surveillance and screening.

One of the most frequent concerns of cancer patients is the fear of cancer recurrence. However, doctors in such cases should respond with careful examination and investigation; to detect signs and symptoms of local and distant recurrence.

Assessment and management of long-term treatment effects.

Many cancer patients experience long-term physical and psychosocial effects from cancer and the associated treatment, including pain, lymphedema, fatigue, and also psychological discomfort. Risk factors for increased suffering include a history of depression or anxiety, poor social support, and young age. Physicians should look for these symptoms and carefully assess those at risk. Studies have reported that early diagnosis of distress using standardized screening tests improves outcomes, and recently published guidelines are a valuable resource for physicians to assess and manage the psychosocial consequences of cancer and its treatment.

Health Promotion.

The involvement of physicians is essential to ensure optimal follow-up care. Studies show that survivors who visit a primary care provider in addition to an oncologist are more likely to receive recommended preventive care as well as quality treatment for other illnesses. In health promotion and disease prevention, doctors should approach cancer survivors like those diagnosed with the acute coronary syndrome, who want to improve their health through counselling by modifying their lifestyle.

Care Coordination.

Although physicians are increasingly advocating medical follow-up for cancer survivors, the challenges faced by some cancer patients are best addressed using a multidisciplinary approach. The physician should actively consider whether other healthcare professionals can assist the patient’s recovery and initiate referrals immediately. It starts with building relationships with local oncologists or doctors who focus on oncology, who can oversee cancer treatment and serve as an excellent resource for comprehensive care for cancer survivors^​1​.

Follow up after palliative care.

For patients receiving palliative care only, management should focus on the quality of life during follow-up. If no new symptoms appear, follow-up can be reduced to 1 to 2 months after the end of treatment. The palliative care team should coordinate monitoring for this patient group.

References