Penectomy is a surgical procedure involving the removal of all or part of the penis. This procedure is typically performed to treat penile cancer, a malignant condition affecting the penile tissues, or in some cases, to address severe trauma or other significant penile conditions. There are different extents of penectomy, ranging from partial penectomy, which removes only the affected portion of the penis, to total penectomy, where the entire penis is removed. In cases of penile cancer, the surgery aims to remove cancerous tissue while attempting to preserve as much function and appearance as possible, though in advanced cases, total removal may be necessary. While penectomy can be crucial for treating cancer or severe conditions, it carries significant risks and complications. Common complications include infection, bleeding, and wound healing problems. Patients may experience psychological and emotional impacts due to the loss of a significant body part, which can affect body image and sexual function. The procedure can also lead to difficulties with urination and sexual function, potentially requiring reconstructive surgery or the use of urinary diversion techniques to manage these functions. Long-term complications may include changes in sexual function, which can impact intimate relationships and overall quality of life. Post-operative care is essential to manage these risks, support recovery, and address any physical or psychological challenges resulting from the surgery. Follow-up care involves monitoring for complications, providing support for sexual health and rehabilitation, and offering counseling to address emotional well-being.
