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Genital area of male after partial penectomy.

Penectomy is penis removal through surgery, generally for medical or personal reasons.

Medical reasons for penectomy[edit]

Cancer, for example, sometimes necessitates removal of part or all of the penis.[1] 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.[2]

In very rare instances, botched circumcisions have also resulted in full or partial penectomies, as with David Reimer.

Fournier gangrene can also be a reason for penectomy and/or orchiectomy.

Followup support[edit]

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.[2] For instance, the American Cancer Society's Cancer Survivors Network website provides information for finding support networks.[3]

Sexual support[edit]

Sexual support therapists and specialists are available nationally in the USA and can be accessed through the specialist cancer services.[2] Many surgeons or hospitals will also provide this information post operatively. Local government health services departments may be able to provide advice, names, and contact numbers.

Personal reasons[edit]

Genital surgical procedures for trans women undergoing sex reassignment surgery do not usually involve the complete removal of the penis. Instead, part or all of the glans is usually kept and reshaped as a clitoris, while the skin of the penile shaft may also be inverted to form the vagina (some more recently developed procedures, such as that used by Dr. Suporn Watanyusakul use the scrotum to form the vaginal walls, and the skin of the penile shaft to form the labia majora). When procedures such as this are not possible, other procedures such as colovaginoplasty are used which may involve the removal of the penis.

Issues related to the removal of the penis appear in psychology, for example in the condition known as castration anxiety, which happens as a result of a man having anxiety as to whether he may at some point become castrated.

Some men have undergone penectomies as a voluntary body modification, but professional opinion is divided as to whether or not the desire for penile amputation is a pathology, thus including it as part of a body dysmorphic disorder. Usually fantasy, as in castration, but at other times gender confusion or hatred, or even psychosis can result in penectomy.

Males who consider themselves third sex will sometimes want an emasculation, i.e., they opt to have their penis and/or testicles removed.

See also[edit]

References[edit]

  1. ^ Korets, Ruslan; Koppie, Theresa M.; Snyder, Mark E.; Russo (2007). "Partial Penectomy for Patients With Squamous Cell Carcinoma of the Penis: The Memorial Sloan-Kettering Experience". Annals of Surgical Oncology 14 (12): 3614–3619. doi:10.1245/s10434-007-9563-9. ISSN 1068-9265. PMID 17896151. 
  2. ^ a b c Kennard, Jerry (2006-07-22). "Penectomy: Partial and Total Removal of the Penis". About.com. Retrieved 2011-09-25. 
  3. ^ "Cancer Survivors Network". American Cancer Society. Retrieved 2011-09-25. 

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1 news items

Winnipeg Free Press

Winnipeg Free Press
Fri, 11 Apr 2014 23:34:33 -0700

However, there are certain surgeries patients will be sent to Montreal for including: orchidectomy to remove the testicles, penectomy and vagioplasty. Patients have to pay for the travel costs upfront and then get reimbursed. The list of surgical ...
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