Partial Penectomy

This is surgery to remove part of the penis.
A section of skin may be taken from another area of the body such as the thigh to replace some of the tissue which has been removed (skin graft). It is very important that men and their partners discuss this surgery with their specialist health team to ensure that they know exactly what to expect with regard to the appearance of the penis afterwards.

After surgery

  • Painkillers will be given on a regular basis.
  • It is important that painkillers are taken regularly as prescribed and not just when pain is felt.
  • The penis will have a surgical dressing covering it. This will usually be removed after 2 – 3 days. Once it is removed men should be able to have a shower, providing that they have not had a skin graft, they should pat the area dry with a clean towel or gauze and avoid any material that may leave fibres.
  • If a skin graft has been used a waterproof dressing will be left in place usually for 2 weeks. As the site of the skin graft heals it may cause an unusual odour which can cause alarm but this is us a result of the natural haling process.
  • Any stitches will be dissolvable but may take 4 – 6 weeks to fully disperse.
  • Men will have a urinary catheter (urine drainage tube) which may need to remain for up to 5 days.
    If men do not have a catheter in when they are discharged from hospital it is important they avoid holding the operation site on their penis when they pass urine.Partial Penectomy
  • It is best to avoid sexual intercourse for 8 weeks following surgery.
  • Men will need a minimum 4 weeks off work.

A follow up appointment will usually be made after a few weeks to check that the operation site is healing satisfactorily and to discuss the results of the operation. Any further treatment that may be recommended will usually be decided at this time.

Urinary Problems

Surgery to the penis is likely to cause swelling and possibly inflammation of the penis. This may exert pressure to the urethra andcause the urinary stream to spray. It will usually settle in time and symptoms should improve as the body heals. However, if this proves bothersome, there are several types of disposable urinary funnel which can be purchased (see diagram below).

Beambridge Medical (images and prescription codes)

Male funnel

Male funnel mini

Flexi funnel

Youth funnel

Female funnel

Whiz

Whiz freedom

Shewee

Shewee

Other funnels including disposable ones can be found on Amazon.co.uk, however these are not available on prescription.

It is also possible to purchase a special key (RADAR Key) which allows anyone with a medical condition which may cause the need to urinate more frequently from Disability Rights

A toilet card can also be obtained which may allow men access to otherwise private amenities such as toilets found in shops etc. Further information can be found here

For information on coping and dealing with the results of penile cancer treatment please click here

To read personal stories of men who have been affected and treated for penile cancer please click here

Last reviewed November 2019. Next review November 2020.

 

References available on request.

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