Overview

Penectomy is a surgical procedure performed by medical experts to remove part or all of the penis in cases of advanced penile cancer or when the disease seems uncontrollable with treatments meant for preserving the organ. This surgery is one of the primary treatment options for penile cancer. It may be combined with reconstructive techniques or urinary diversion procedures to help restore function and improve quality of life.

The procedure is the best treatment option for doctors when cancer has deeply invaded penile tissues or when less invasive treatments (such as laser therapy, Mohs surgery, or partial excision) are not sufficient to eradicate the disease.

Types of Penectomy

Partial Penectomy
- This type of Penectomy releases the cancer-affected part of the penis while maintaining as much of the shaft as possible.
- Helps maintain urinary function and, in some cases, sexual function.
Total Penectomy
- Involves the complete removal of the penis.
- It requires the creation of a new urinary opening (perineal urethrostomy) to allow urine to pass through.
Reconstructive Surgery (Optional)
- In selected cases, reconstructive urologic techniques may be an effective cosmetic and psychological support alternative.

Why is Penectomy Performed?

To eliminate penile cancer that is treatable by less invasive means.
To check the further progress of cancer to nearby lymph nodes or other organs.
To relieve symptoms such as bleeding, pain, foul-smelling discharge, or difficulty passing urine due to tumor growth.

Before the Surgery

A complete clinical evaluation includes biopsy, imaging scans (MRI, CT, PET-CT), and staging tests.
Counseling regarding the extent of surgery, changes in urinary habits, possible sexual dysfunction, and psychological support is provided.
Pre-anesthetic assessment ensures fitness for surgery.

During the Surgery

Performed under general or spinal anesthesia.
Depending on the nature & extent of the tumor, partial or total removal is carried out.
A perineal Urethrotomy (urinary outlet near the perineum) functions actively for total penectomy.
If needed, an inguinal lymph node dissection may happen concurrently.

After the Surgery

A hospital stay of a few days is usually required.
Pain management, antibiotics, and wound care become necessary.
A catheter or urinary tube settles down temporarily.
Gradual return to routine activities is encouraged.
Psychological support and rehabilitation are critical components of recovery.

Benefits of Penectomy

Effective cancer control in advanced penile cancer.
Prevents the spread of cancer to lymph nodes or distant organs.
Provides relief from distressing symptoms like pain and bleeding.
Enhances survival chances, especially when combined with other therapies (chemotherapy, radiation).

Risks & Possible Complications

Bleeding and infection.
Narrowing of the new urinary outlet (stricture).
Changes in urination (sitting position may be required).
Loss of sexual function (partial penectomy may preserve some function).
Emotional and psychological impact due to body image changes.

Recovery & Lifestyle After Penectomy

Most patients adapt well with proper counseling and rehabilitation.
Urination may require a sitting position after total penectomy.
Sexual intimacy and fertility options should be discussed before surgery (sperm banking may become necessary).
Regular follow-up visits are essential to monitor recurrence and overall health.
Psychological counseling and support groups can significantly help patients and families cope.

FAQs on Penectomy (Penile Cancer Surgery)

Can sexual function be preserved after a penectomy?

A partial penectomy may allow preservation of some sexual function, depending on how much penile tissue remains. A total penectomy eliminates erectile function, but intimacy and relationships can continue in adapted forms.

How will I pass urine after a total penectomy?

A perineal Urethrotomy functions actively, which allows urine to exit through an opening near the perineum. Patients can urinate comfortably, usually while sitting.

Is penectomy the only treatment for penile cancer?

No, treatments like laser therapy, topical chemotherapy, or Mohs surgery may work in early stages. Penectomy plays a role in larger or invasive cancers.

Will I need additional treatment after a penectomy?

Suppose lymph nodes are affected or cancer is at an advanced stage. In that case, additional therapies like radiation or chemotherapy may be the result-oriented therapy.

How can I deal with the psychological effects of a penectomy?

Counseling, support groups, reconstructive options, and open communication with healthcare providers can help address emotional challenges and improve quality of life.

Why choose Tender Palm Super-Speciality Hospital for Penectomy (Penile Cancer Surgery) in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Penectomy in Lucknow, India. Our experienced uro-oncologists use advanced tools to give accurate results, quick diagnosis, and better long-term care. We offer the best evaluation and treatment support with effective and affordable pricing, making the Penectomy cost or Penile Cancer Surgery Cost suitable for patients in seeking high-quality urologic cancer care in Lucknow, India.