penectomy
{{Short description|Medical removal of the penis}}{{About|surgical removal of the penis|the removal of the penis other than by surgery (e.g. torture)|Penis removal}}
{{Distinguish|Sex reassignment surgery (male-to-female)}}{{Distinguish|Castration}}
{{Medref|date=January 2022}}
{{Infobox medical intervention
| name = Penectomy
| synonym =
| image = A new manual of surgery, civil and military (1917) (14580073029).jpg
| caption = Diagram of a penectomy
| alt =
| pronounce =
| specialty = urology
| synonyms =
| ICD10 =
| ICD9 =
| ICD9unlinked =
| CPT =
| MeshID =
| LOINC =
| other_codes =
| MedlinePlus =
| eMedicine =
}}
Penectomy is penis removal through surgery, generally for medical or personal reasons.
Medical reasons for penectomy
Cancer, for example, sometimes necessitates removal of part or all of the penis.{{Cite journal |last1=Korets |first1=Ruslan |last2=Koppie |first2=Theresa M. |last3=Snyder |first3=Mark E. |last4=Russo |first4=Paul |title=Partial Penectomy for Patients With Squamous Cell Carcinoma of the Penis: The Memorial Sloan-Kettering Experience |journal=Annals of Surgical Oncology |volume=14 |issue=12 |pages=3614–3619 |year=2007 |pmid=17896151 |issn=1068-9265 |doi=10.1245/s10434-007-9563-9|s2cid=24669920 }} The amount of penis removed depends on the severity of the cancer. Some men have only the tip of their penis removed. For others with more advanced cancer, the entire penis must be removed.{{Cite web |last=Kennard |first=Jerry |title=Penectomy: Partial and Total Removal of the Penis |publisher=About.com |date=2006-07-22 |url=http://menshealth.about.com/od/cancer/a/Penectomy.htm |access-date=2011-09-25 |archive-date=2016-04-02 |archive-url=https://web.archive.org/web/20160402172456/http://menshealth.about.com/od/cancer/a/Penectomy.htm |url-status=dead }}
In rare instances, a botched circumcision can also result in a full or partial penectomy, as with David Reimer.{{Cite book |last=Colapinto |first=John |url=https://books.google.com/books?id=wd633hMM2AAC |title=As Nature Made Him: The Boy Who Was Raised as a Girl |date=2013-03-05 |publisher=Harper Collins |isbn=978-0-06-227831-9 |language=en}}
Fournier gangrene can also be a reason for penectomy and/or orchiectomy.
=Follow-up support=
Because of the rarity of cancers which require the partial or total removal of the penis, support from people who have had the penis removed can be difficult to find locally. Website support networks are available. For instance, the American Cancer Society's Cancer Survivors Network website provides information for finding support networks.{{Cite web| title=Cancer Survivors Network |publisher=American Cancer Society |url=http://csn.cancer.org/ |access-date=2011-09-25}} Phalloplasty is also an option for surgical reconstruction of a penis.
=Sexual support=
Patients who have undergone a partial penectomy as a result of a penile cancer diagnosis have reported similar sexual outcomes as prior to surgery.{{Cite journal|last1=Sansalone|first1=Salvatore|last2=Silvani|first2=Mauro|last3=Leonardi|first3=Rosario|last4=Vespasiani|first4=Giuseppe|last5=Iacovelli|first5=Valerio|date=2015|title=Sexual outcomes after partial penectomy for penile cancer: results from a multiinstitutional study|url=http://www.ajandrology.com/preprintarticle.asp?id=168690|journal=Asian Journal of Andrology|volume=19|language=en|issue=1|pages=57–61|doi=10.4103/1008-682X.168690|issn=1008-682X|pmc=5227676|pmid=26643562 |doi-access=free }} Sexual support therapists and specialists are available nationally in the United States and can be accessed through the specialist cancer services. Many surgeons or hospitals will also provide this information postoperatively. Local government health services departments may be able to provide advice, names, and contact numbers.{{tone inline|date=March 2023}}
See also
References
{{Reflist}}
External links
{{Spoken Wikipedia|En-penectomy.ogg|date=2019-11-06}}
{{Male genital procedures}}