Penectomy & ER Visits

0/10/24- MRI Brain - no acute changes, no evidence of malignancy

10/14/24- penectomy with bilateral inguinal lymph node dissection: small area of residual SCC in penis, margins clear. 3 of 19 inguinal lymph nodes involved, pT1bN2, no extranodal extension. Largest lymph node 2.1cm on left.

10/28/24- CT abd/pelvis - bilateral inguinal fluid collections (6.1 x 5.1cm on left, and 3.6 x 1.8cm on R), L inguinal drainage catheter in place. Soft tissue defect in anterior aspect of penis. Extensive subcutaneous emphyseama.  Bilateral inguinal phlegmonous connections.

10/28/24- in ER due to purulent drainage at urethrostomy site, also irritation on scrotum, perineum. Evidence of wound dehiscence.