A Penectomy refers to a procedure in which all or parts of the penis are surgically removed. Dr Singh may recommend the procedure if you have been diagnosed with penile cancer.
Total Penectomy involves the removal of the entire penis. During this procedure, Dr Singh will carefully create a new opening in the perineum through which urine can pass. In some cases, the testicles, scrotum and lymph nodes may also be removed.
A partial Penectomy involves the removal of part of the penis, and typically leaves the shaft intact.
This surgical procedure is done under general or spinal anaesthesia. In some cases, Dr Singh may place a temporary catheter to drain the bladder while your body heals.
During a partial penectomy, Dr Singh will identify and locate areas of the penis that need to be cut out. In some cases, he may remove the glans, a procedure similar to circumcision. Dr Singh will bring the urethra to the new opening of the skin and then the incision will be stitched closed. The removed tissue is then taken to the laboratory for examination.
In a total penectomy, Dr Singh will remove the entire organ and put the end of the urethra to a new opening in the perineum. Additional procedures may also be performed to remove the inguinal lymph nodes as a part of penile cancer treatment.
After a penectomy procedure, you will remain in the hospital for two nights. You may have a catheter inserted in your bladder, and detailed instructions will be given on how to use and care of the catheter. Dr Singh will prescribe medication for pain, prevention of blood clots, infections and constipation. You will also be advised on which activities to avoid to improve your recovery.