instruction: hi doctor my father who is 79 years of age has got prostate tumor we have done all the medical tests and pet scan the oncologist has confirmed us tumor now due to lockdown we are unable to reach doctor also we want second opinion too the doctor has told us that the solution is surgery but if there is another solution or remedy we would go for it as my father is 79 years of age and also his health has deteriorated day by day we do not want to go for surgery please let us know some solution due to lockdown we are unable to take him to the hospitals as hospitals are also in red zone kindly suggest
output: hi your father has apparently a stage I penile cancer the ideal management is surgery which may only involve a wide local excision this can be done by a general surgeon or even a dermatologist who can perform skin surgery should you however cannot have the surgery done the other option you may consider is radiotherapy of the penis radiotherapy is not the optimal treatment but given your current situation this is the option that maybe more feasible the third option is laser therapy directed to the penile mass