We understand that this is a difficult and highly sensitive topic to discuss. However, it is vital that we stay informed about the surgical procedures that may be necessary when dealing with cancer. Being well-informed helps alleviate unnecessary anxiety and ensures you take the right steps if needed. Today, let’s discuss the penis removal surgery, or (Penectomy).
In simple terms, what is a penectomy?
A penectomy is a surgical procedure to remove the penis. There are two main types. One is removing only part of the penis, known as a partial penectomy. The other is removing the entire organ, known as a total penectomy.
In most cases, the primary reason for this surgery is to treat cancer of the penis (Penile Cancer).
Why is this surgery necessary?
As mentioned, the primary and most common reason for this surgery is as a treatment for penile cancer. While this is a relatively rare type of cancer, individuals with certain risk factors have a higher probability of developing this malignancy.
The most important thing to remember is that if this cancer is identified early, this surgery provides the best chance of saving your life.
Who is at an increased risk for penile cancer?
- Those who smoke
- Those who are not circumcised
- People with conditions such as
HPV(Human Papillomavirus) orAIDS - Those over the age of 50
- Those who have undergone UV light and
Psoralenmedication therapy for the skin conditionPsoriasis - Those with foreskin-related issues, such as
Phimosis(tight foreskin that cannot be retracted) or accumulation of debris (Smegma) under the foreskin.
If you have any of these risk factors, do not panic. It does not mean you will definitely develop cancer. However, staying aware and consulting your doctor immediately if you notice any unusual changes is essential.
What happens during surgery?
The approach depends on the stage and spread of the cancer. Your surgeon will always aim to remove the minimum amount of tissue necessary.
| Procedure Type | What it involves |
|---|---|
| Glansectomy | If the cancer is localized to the tip (glans), only that part is removed. A skin graft may sometimes be required. |
| Partial Penectomy | If the cancer is larger, a portion of the penis is removed. Surgeons aim to preserve enough length so that you can still urinate while standing. |
| Total Penectomy | If the cancer is extensive or aggressive, the entire penis is removed. The urethra is then redirected to the perineum (the area between the scrotum and the anus). This is called a Perineal Urethrostomy. After this, you will need to sit down to urinate. |
Sometimes, your doctor may also remove lymph nodes to check for cancer spread. In some cases, depending on individual circumstances, you may discuss the possibility of reconstructive surgery, or (Phalloplasty), with your doctor at a later date.
What to expect after surgery?
Following the surgery, you may experience the following:
- A hospital stay of two to three days.
- A urinary catheter, which may stay in place for about two weeks.
- A drain may be placed to remove excess fluid from the surgical site.
- Swelling is common and may take a few weeks to subside.
- You will generally be able to resume a normal diet quickly.
Recovery and impact on sexual health
Recovery time varies. You will likely be unable to return to work for about a month. You must avoid heavy lifting for four to six weeks. Your doctor may advise you to wear compression stockings or take medication to prevent blood clots.
Sexual Health
This is a common concern. Impact depends on the surgery type:
- After Glansectomy and Partial Penectomy: Once fully healed, many men are still able to achieve an erection and engage in sexual intercourse using the remaining tissue.
- After Total Penectomy: Because the organ is removed completely, sexual intercourse in the traditional sense is not possible.
Please remember that this does not mean your life as a partner is over. There are many other ways to share intimacy, affection, and satisfaction with your partner. Open, honest communication between the two of you is the most important factor here.
Navigating these emotions can be difficult. Speak with your doctor about accessing counseling and support services. This can provide much-needed strength for you and your partner.
When to contact your doctor immediately
Once you are home, please watch for these signs. If you experience any of these, contact your surgical team immediately:
| Warning Sign | Description |
|---|---|
| High Fever | A sudden spike in body temperature. |
| Excessive Bleeding | Bleeding at the wound site that you cannot control. |
| Uncontrollable Pain | If pain persists despite taking prescribed pain medication. |
| Worsening Symptoms | Any new or worsening symptoms that feel concerning. |
Ultimately, while this is a serious surgery, it is often the most effective way to save your life when facing penile cancer. Always follow your surgeon's advice, ask questions before your procedure, and keep your family informed. If you encounter an emergency, proceed to the nearest emergency department or call emergency services.
Take-Home Message
Penectomyis a primary treatment for penile cancer that helps save your life.- The type of procedure is determined by the extent and nature of the cancer.
- The method of urination and impact on sexual life varies based on the surgery performed.
- It is very important to communicate openly with your doctor and your partner.
- If you need emotional support, do not hesitate to seek counseling services.
Penectomy, Penis removal, Penile cancer, Men's health, Surgery, Perineal Urethrostomy, Nirogi Lanka
