Penile amputation is an operation that is sometimes necessary in the treatment of penile cancer. Another circumstance when it is performed is irreversible damage to the penis as a result of severe trauma or in a situation of sex reassignment. What is penile amputation?

Penile amputationotherwisepenectomyis a surgical procedure that is performed for several reasons.

Penis amputation may also end with the careless use of Viagra boosters. An unnaturally long-lasting erection prevents the outflow of blood and gradually leads to organ necrosis.

Penile cancer is the most common, but it can also damage this organ to such an extent that it is impossible to salvage it surgically, or accidental but severe damage to the penis during circumcision. Another case where penectomy is performed is surgery at the request of a patient who wishes to change gender. There are two stages of amputation - partial or complete (total).

Total penectomy

It is a radical amputation of the entire organ that is performed under general or local spinal anesthesia. In order for the patient to be able to urinate after the surgery, a new opening of the urinary tract is created between the scrotum and the anus. In some cases, when it is necessary to remove the urinary bladder at the same time, it is necessary to perform a urinary stoma, i.e. an artificial outlet for the ureters. From now on, the urine is collected in a bag that the man will have to carry under his clothes and empty it systematically. After a complete penectomy, penile reconstruction is unlikely to be performed, or sometimes the skin is transplanted from another place and formed in the shape of a penis, but such a penis will only have an aesthetic function.

Partial penectomy

Tissues are removed depending on what part of the organ is affected by the tumor or trauma. Doctors try to keep as much of the penis as possible (in the case of cancer, the margin of he althy tissue is always removed to avoid recurrence) in order to maintain its sexual and excretory functions. An auxiliary outlet is created for a period of time to drain urine (between the anus and scrotum), and then it is removed to restore the natural functions of the penis. Usually after partial penile amputationit is possible to perform penis reconstruction surgery and even return to full sexual performance of the patient. Note: Penile amputation surgery is associated with a strong decrease in the patient's well-being and a lack of self-esteem. Therefore, in both cases of penectomy, an extremely important element of a man's rehabilitation is the support of his relatives - especially his partner. Sometimes it is worth asking a psychologist or sexologist for help. The sexual sphere does not have to be doomed - as it might seem - to annihilation.

Important

In order to surgically change the sex of a man who feels like a woman, partial penectomy is used. First of all, doctors need to change the way we donate eyes. Plastic surgery of the vagina, labia from the shaft of the penis and the clitoris from the glans is also performed, so that full sexual activity is possible.

Worth knowing

Last year, the world's first penis transplant was performed in South Africa. The black man had to have his organ amputated because of complicated complications following circumcision. He was transplanted from an organ taken from a deceased - white - donor. The operation lasted 9 hours and the doctors used similar microsurgical techniques as for the face transplant. Three months after the operation, the man regained his urinary and sexual functions. He can also become a father. After such a promising operation, doctors plan more, but each man must first undergo appropriate psychological tests. Earlier, in China, a penis transplant was also performed, but after two weeks the patient requested that the sutured organ be removed - he was unable to accept it.

From time to time the media circulates information that a man cut his penis off himself. For example, 10 years ago a certain highlander showed up at the emergency room in Zakopane with his own member in … a plastic bag. He cut it off while under the influence of alcohol. After a while, he regretted this act and decided to go to the hospital. Unfortunately, it has been too long since it self-amputated. The organ was necrotic and there was nothing the doctors could do. On the other hand, 2 years ago, the Wu-Tang Clan rapper Andre Johnson admitted to self-amputation, who cut off his penis under the influence of a drug stunned by drugs: - I cut him off because it was the source of all my problems. The solution was to understand that sex is for mortals and I am god, he explained.

Category:

Male diseases