Lymph node dissection(LND) remains the gold standard in the staging and treatment of locally advanced penile cancer(PC)1.

To describe our initial experience with a new minimally invasive inguinal and pelvic single-access laparoscopic approach2,for performing LND in PC, first described in Urology by our group in 20153: the Pelvic and Inguinal Single Access(PISA) technique (Figure 1).

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