We know this is a really difficult and sensitive topic to talk about. But it is very important for all of us to be aware of the surgery that a man may have to undergo due to a cancer condition. Because, knowing the right information will help to eliminate unnecessary fear and take the right steps if necessary. So today, let's talk about penis removal surgery, or `(Penectomy)`.
Simply put, what is a penectomy?
`Penectomy` is the surgical removal of the penis. There are two main types of this. One is the removal of only part of the penis. We call it `partial penectomy`. The other is the complete removal of the penis. We call it `total penectomy`.
Most often, the main reason for this surgery is penile cancer.
Why do I have to have this surgery?
As mentioned earlier, the main and most common reason for this surgery is to treat penile cancer . This is a relatively rare type of cancer. However, people with certain risk factors are more likely to develop this cancer .
The most important thing is that if this cancer is detected early, this surgery is the best chance of saving a life.
Who is at increased risk of penile cancer?
- For smokers
- For those who are not circumcised (Not circumcised)
- For those with conditions such as ` HPV ` ( Human Papillomavirus ) or ` AIDS `
- For those over 50 years old
- For those who have been treated with UV rays and a drug called `Psoralen` for the skin disease ` Psoriasis`
- For those with problems related to the foreskin. For example, if the foreskin is too tight to retract (`Phimosis`) or if there is a buildup of debris (Smegma) under the foreskin.
If you have these risk factors, don't worry. It doesn't mean you will definitely get cancer. However, it's important to be aware of this and see a doctor as soon as possible if you notice any unusual changes.
What happens during the surgery?
This depends on the size and spread of your cancer. Your doctor will always try to remove as little tissue as possible during treatment.
| Type of surgery | What happens is simple. |
|---|---|
| Glansectomy | If the cancer is only in the tip of the penis (glans), only that part is removed. A skin graft may also be done. |
| Partial Penectomy (partial removal) | If the cancer is a little larger, part of the penis is removed. Here, doctors try to leave as much of it as possible so that you can urinate while standing . |
| Total Penectomy | If the cancer is large and invasive, the entire penis is removed, along with the part that goes inside the body. At this time, the tube that carries urine (urethra) is connected to the area between the scrotum and the anus (perineum). This is called a Perineal Urethrostomy . After the surgery , you will have to urinate while sitting . |
Sometimes, the doctor may remove some lymph nodes to check if the cancer has spread. Also, although not always possible, the doctor may discuss the possibility of performing a penis reconstruction surgery (Phalloplasty) later.
What can you expect after surgery?
After surgery, you may experience the following:
- You will usually have to stay in the hospital for two or three days .
- A urinary catheter will be placed to drain urine. This may need to be left in place for about two weeks.
- A separate tube (drain) may be placed to drain the blood from the wound.
- There will be swelling, which may take several weeks to subside.
- You will be able to eat and drink normally.
How long does it take to heal? And is there any impact on sex life?
The recovery time varies from person to person. It is usually about a month before you can go back to work. You should avoid lifting heavy objects for four to six weeks . Your doctor may advise you to wear compression stockings or take medication to prevent blood clots.
Sex life
This is the biggest problem for many people. Again, the effect depends on the type of surgery performed.
- After Glansectomy and Partial Penectomy: After healing well, it is often possible to regain an erection and have sex using the remaining penis.
- After Total Penectomy: Since the penis has been completely removed, it is no longer possible to have sex.
But this doesn't mean that life is over. There are many other ways to share love, affection, and sexual satisfaction with your partner. The most important thing here is to have honest, open communication between the two of you.
It's hard to stay mentally strong during times like this. So, talk to your doctor about getting counseling and support. It can be a great help to both you and your partner.
If you have these symptoms, call your doctor immediately.
When you get home after surgery, be aware of these things. If you have any of these, you should immediately contact the doctor who treated you.
| Feature to pay attention to | Description |
|---|---|
| High fever | If the body temperature suddenly increases. |
| Heavy bleeding | If the wound is bleeding uncontrollably. |
| Uncontrollable pain | If the pain doesn't subside even after taking the painkillers prescribed by the doctor. |
| Other new or worsening symptoms | If you have any symptoms that feel strange, that you didn't have before, or that are getting worse. |
In conclusion, although this is a serious surgery, it can be the best solution to save your life in case of penile cancer. Therefore, always follow the advice of an experienced doctor. Ask everything clearly before the surgery. Inform your family about this.
Take-Home Message
- Penectomy is the main treatment for penile cancer. It can help save your life .
- The type of surgery performed (partial or total) depends on the size and nature of the cancer .
- The way you urinate after surgery and the impact on your sex life will vary depending on the type of surgery performed.
- It is very important to talk openly about everything with your doctor and partner .
- If you need help staying mentally strong on this journey, don't hesitate to seek counseling services .
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