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What is a penectomy?
Penectomy is surgical removal of the penis. Thankfully, this procedure is a rare one.
How does one go about doing a penectomy?
In order to do a penectomy a person must be a board certified surgeon. A surgeon will have have the area numbed by a anesthetist, and then begin the surgical procedure of removing the organ.
What does a partial penectomy and urethroplasty mean?
A partial penectomy is when they surgically remove part of the penis. An urethroplasty is the correction/formation of the urethra. A urethroplasty would be done with a penectomy since the urethra is within the penis and would want to reconstruct it so the could pee out of what is left of his penis. This procedure is mainly done for penile cancer. It is sad because this form of cancer is basically preventable with either a circumcision or good hygiene.
What happens after penectomy?
Ok, you'll find a lot of articles on the internet about this, however the vast majority repeat themselves and very few actually hit upon the points and realities that most people facing this procedure, really want to know about, so I'll make this as simple as possible:Partial PenectomyIf you have had a Partial Penectomy, then you will have a shorter penis than usual, how short depends upon:1) The reason for the procedure.2) Your original length.3) How much has had to be amputated.The penis that is left after surgery will have no head, which will obviously take some getting use to. After a Partial Penectomy you might still be able to have intercourse. It is said that intercourse is possible even with only a 3 inch stump left (when erect) but with less than 3 inches intercourse is going to become virtually impossible as there won't be enough penis length to push past a vaginas opening, however there maybe enough for oral stimulation.Online you will find a lot of very 'optimistic outcome viewpoints' about Partial Penectomy from many hospitals, because most of those hospitals want you to use them for your procedure, but the reality is that it's going to be a very tough time. Being realistic is more important that being optimistic, to prepare yourself mentally for the very worst, in which case any better outcome is great!On a plus point, after a Partial Penectomy you should also have enough shaft left to be able to pee standing up and still be able to "aim".Total PenectomyYou'd think it's similar to Partial Penectomy, however Total Penectomy is a completely different ball game.The majority of information that you find online about Total Penectomy will be VERY optimistic about the results of the surgery; only concentrating purely on the positives. For example you will read lines like: "after total penectomy a lot of patience find that they can still do this and that", but, what none of them actually go into detail about, is the obvious results of Total Penectomy.After Total Penectomy you're looking at no more masturbation, no more oral sex, no more penetrative intercourse, more than likely no more ejaculating at all would be an obvious result. However the worst part is that, with your testicles, seminal vessels and prostate all intact, they'll be working away giving you your usual libido producing their testosterone, sperm and seminal fluid, but without the penis you won't be able to ejaculate any of it.You'll still be getting sexually aroused, and frustratingly, will be desperate to get sexual relief, even though you cannot.To almost 'add insult to injury' after Total Penectomy surgery, a lot of people also experience 'phantom erections' (a condition linked to phantom limb syndrome) so when sexually aroused, you'll feel like you have an erection, which you cannot touch or do anything with, as it isn't really there.Any form of Penectomy obviously is not an ideal situation, and is why most men, especially who have undergone Total Penectomy, do need counselling or some kind of psychological help afterwards to help them come to terms with these huge life changes.Because of the rarity of the procedure, there is limited resources out there to find support groups, but gradually there is more awareness coming out.There is also new hope now with new technology coming out to regrow body parts, and luckily for men facing Partial or Total Penectomy in the future, one of the main focuses at the moment for growing body parts is on penises.... So if I were you, I would be finding a list to get myself first in line.That is pretty much it.
Will Caitlyn Jenner have a penectomy?
This is not usually done. Generally, penis removal is done in concert with vaginoplasty, that is the penile skin is used to form the vagina. This is not a straightforward amputation, but a complex procedure intended to maintain nerve function to preserve sexual feeling.
Is it weird or bad if you would like to get a penectomy?
It is important to remember that your body is your own and your feelings about it are valid. If you are considering this procedure, it is recommended to speak with a mental health professional and a healthcare provider to explore your reasons and consider all options available to you before making a decision.
What Kind of cancer did Diego Rivera have?
As a historical point of interest, Diego Rivera, the famous Mexican muralist, who had multiple sexual partners over many years in a country where most men are uncircumcised, developed penile cancer [514]. He refused penectomy (surgical removal of the penis) and instead (as a Communist) went to the Soviet Union for radiation therapy. He died a painful death from the disease and the side effects of his therapy.
What is used in the process of removing male genitals in a transgender person?
To remove male genitals in a trans-gender operation aka ( sex reassignment surgery). People have this done when they feel they were born the wrong sex and wish to correct it by having their genitals replaced with the opposite sex. The first step is prior to surgery the individual has some kind of hormone therapy. There may be some other plastic surgery such as breast augmentation. Then there is usually a combination of surgeries performed, Penectomy, Orchiectomy, and some form of vaginoplasty.
How much does it cost to get a sex change in or out of US?
The cost of the surgery will run from $20,000 or $30,000 outside the United States to close to $100,000. in the United States. Fortunately this cost is generally paid out in smaller increments, as a man starts his journey to the life he's always wanted. First he will need psychological testing and therapy to prove to the medical team this surgery will improve his life. He will begin living his year of dressing differently and using hormones to get the change started. There are several parts to the surgery, which may include any or all of the following: orchiectomy, penectomy, vaginoplasty, and augmentation mammoplasty. Most men also want facial contouring, breast augmentation, laser hair removal and body reshaping to move the fat pads to give a more feminine look.
Should you be concerned that your husband after an accident that the end result was a penectomy is accepting it better then you are after only 1 and half month?
I think you should be concerned that your husband is dealing with a monumental event that is going to change many aspects of his life, as well as yours, and perhaps it hasn't "sunk in" yet. He likely has not actually come to terms with it at all (shock is not uncommon in such situations). More likely than not, he is in the first stage of grief, which is "denial". Historically--and across many societies--the phallus is the iconic representation of not only male virility, but also of the male "spirit". To lose it (unless he has gender identity issues--like gender identity disorder, or gender dysphoric disorder) is often, essentially, like losing manhood itself. He should be expected to grieve it, just as we grieve anything that is important to us. Please research the 5 stages of grief for more information about this. It COULD also be that your husband is afraid to express his concerns and worries about being able to maintain a healthy sexual relationship, and is putting on a "brave face" for you. Men are globally engendered to be the "problem solvers" and protectors, and to show such vulnerability is extremely difficult for many. He may not be able to express his true feelings--in fact, he may be so disassociated from his own true reaction to the event that he honestly believes he is dealing with it well. This is a form of dissociative disorder (such as fugue) which often occurs in traumatic situations. I would definitely recommend getting into couples counseling for the both of you. It couldn't hurt, and more than likely, it could help to stave off relationship issues down the road. Best of luck to you!!
Cancer - penis?
DefinitionCancer of the penis is cancer that starts in the penis, an organ that makes up part of the male reproductive system.Alternative NamesPenile cancer; Squamous cell cancer - penisCauses, incidence, and risk factorsThe exact cause is unknown.Smegma, a cheese-like, foul-smelling substance found under the foreskin of the penis may increase the risk of penis cancer.Uncircumcised men who do not keep the area under the foreskin clean and men with a history of genital warts or human papillomavirus (HPV) are at higher risk for this rare disorder.SymptomsGenital lesionson the penisPainless sore on penis (occasionally, the lesion may cause pain)Penis pain and bleeding from the penis (may occur with advanced disease)Signs and testsThe health care provider will perform a physical exam, which may reveal a non-tender lesion that looks like a pimple or wart. This growth is typically near the end of the penis.A biopsy of the growth is needed to confirm if it is cancer.TreatmentTreatment depends on the location of the tumor and how much it has spread.In general, cancer treatment includes:Chemotherapy -- uses medicines to kill cancer cellsRadiation -- using high powered x-rays to kill cancer cellsSurgery - cuts out and removes the cancerIf the tumor is small and near the tip of the penis, surgery may be done to remove only the cancerous part of the penis. This is called a partial penectomy.For more severe tumors, total removal of the penis (total penectomy) is often necessary. A new opening will be created in the groin area to allow urine to exit the body. This procedure is called a urethrostomy.Chemotherapy may be used along with surgery. Bleomycin, cisplatin, or methotrexate alone or together are usually used for treating penile cancer.Radiation therapy is often recommended in combination with surgery. A type of radiation therapy called external beam therapy is often used. This method delivers radiation to the penis from outside the body. External beam radiation therapy is usually performed 5 days a week for 6 - 8 weeks.Support GroupsJoining a support group where members share common experiences and problems may help relieve the stress associated with diagnosis and treatment of penile cancer.See: Cancer - support groupExpectations (prognosis)The outcome can be good with early diagnosis and treatment. The 5-year survival rate for penile cancers is 65%. Urination and sexual function can often be maintained even when a significant portion of the penis is removed.ComplicationsCancer of the penis frequently spreads to other parts of the body (metastasizes) early in the course of the disease.Calling your health care providerCall your health care provider if symptoms of penis cancer develop.PreventionCircumcision may decrease the risk. Men who are not circumcised should be taught at an early age the importance of cleaning beneath the foreskin as part of their personal hygiene.Good personal hygiene and safer sexual practices, such as abstinence, limiting the number of sexual partners, and use of condoms to prevent HPV infection, may decrease the risk of developing penile cancer.ReferencesPettaway CA, Lynch DF, Davis JW. Tumors of the penis. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 31.
