Early rehabilitation of patients after inguinal lymphadenectomy for carcinoma of the penis

Early rehabilitation of patients after inguinal lymphadenectomy for cancer of the penis is important in order to decrease morbidity and mortality. Half of patients with cancer of the penis are subjected to the inguinal lymphadenectomy, which has a high rate of morbidity and mortality. Out of 30 patients who underwent lymphadenectomy on Clinic for urology, Clinical center of Serbia, 10 received radical lymphadenectomy. Morbidity rate was 42%, and mortality rate was 10%. Other 20 patients underwent modified lymphadenctomy. Morbidity rate was 20%, while mortality rate was 0%. Kinesitherapy on the first postoperative day: breathing exercises, peripheral circulation exercises, chest massage with Wick with training of coughing and expectoration, exercise to preserve muscle strength and range of motion for upper and lower extremities, inhalation, elastic stockings on the lower extremities, along with gradual mobilization, sitting on the edge of the bed, get up and walk with assistance (all with a belt). Successful and early physiotherapy is necessary for quick recovery of operated patients, enabling their fast return to normal life and saving time and resources for the treatment of complications.