What Is a Penis Removal?

Total penile resection is a surgical method for the treatment of advanced penile cancer. It cuts the corpus cavernosum at the foot of the penis, frees the urethra, and rebuilds the outer urethra in the perineum.

Basic Information

Chinese name: Total penectomy

Visiting department: Urology

Anesthesia methods and preoperative preparation for total penile resection

Anesthesia mode

Spinal canal anesthesia.

2. Preoperative preparation

(1) Two days before surgery, enter the diet with less slag and semi-fluid diet, and enema once a day before surgery and morning surgery.

(2) Application of antibacterial drugs to control infections.

(3) Soak the penis with potassium permanganate solution 2 days before the operation.

(4) Pathological examination should be performed before suspicious penile cancer.

(5) For patients with suspected lymphatic metastasis, a biopsy of the inguinal lymph nodes should be performed before surgery.

(6) Shave the pubic hair one day before surgery, and wash the penis and scrotum with soap and water.

Indications for total penile resection

1. More advanced penile cancer, the infiltration of the cancer has reached more than half of the penis, and the residual penis is less than 2cm.

2. Advanced penile cancer, where the cancer has distant metastasis, and those who cannot undergo radical surgery can also perform total penile resection.

3. Proximal severing or gunshot wounds to the proximal penis, causing the entire penis to be completely or basically isolated, and those who perform the unconditional or impossible penile replantation.

4. If the cancer has spread to the scrotum, remove the penis and scrotum together.

Contraindications for total penile resection

Inguinal lymph node metastasis has oppressed the blood vessels and edema of the lower extremities, or those who have had blood metastases.

Total penile resection surgery steps

1. Make a 2cm longitudinal incision above the pubic symphysis at the base of the penis, and make a spindle incision around the root of the penis.

2. Free penis.

3. Cut off the urethra.

4. Cut off the corpora cavernosa.

5. Transurethral perineal transplant.

Postoperative complications of total penile resection

Bleeding, infection, and narrowing of the outer urethra.

Nursing after total penile resection

Observe whether there is bleeding or exudation in the wound, smooth and fixed the various channels, pain care, psychological counseling, observe blood circulation in the penis, and get out of bed early to reduce complications.