PARTIAL PENECTOMY AND ORGAN PRESERVATION APPROACHES

PARTIAL PENECTOMY DELHI-PARTIAL PENECTOMY GURGAON

Dr Vijayant Govinda Gupta is a Consultant Urologist in Delhi NCR, specialising in Partial Penectomy in Delhi NCR and Gurgaon. Read my other article on Penile cancer treatment in Delhi NCR and Gurgaon.

PARTIAL PENECTOMY DELHI-PARTIAL PENECTOMY GURGAON

WHAT IS PARTIAL PENECTOMY?

Partial penectomy is a surgery for the cure of penile cancer. In this surgery the involved organ of the penis is removed and the tip of the penis recreated. Because penile cancer is an aggressive cancer with very poor prognosis if it spreads, partial penectomy is the gold standard procedure for the treatment of penile cancer.

After the surgery, there are a few things to expect –

  • Because the tip of the penis is removed, the penis length will become short.
  • The penile length will be enough to pass urine while standing, but may not be enough for successful intercourse.
  • The penis retains its erections, but as the glans and the distal part is gone, sexual satisfaction and enjoyment are lessened or absent.

Fortunately, penile cancer affects men in their old age and many men are not desirous of sex or intercourse. But, it can be a dissatisfying surgery for men with active libido.

Despite this, life is more essential than sex and partial penectomy, will ensure the best cancer control for long term.

WHAT ARE THE ALTERNATIVES TO PARTIAL PENECTOMY?

In younger men, and even in older men, who wish to preserve ability to have sex, certain organ preserving approaches are possible. Though, they require very very close watch, and may need conversion to a formal partial penectomy when required.

CIRCUMCISION FOR PENILE CANCER

If the penile cancer is limited to the prepuce, removal of the foreskin can give good results and preserve sexual potency.

ORGAN PRESERVATION APPROACHES

  • GLANSECTOMY AND HEMIGLANSECTOMY – In patients with cancer limited to only the glans or penis head, only that part may be removed and it allows the penile length and sensations to be preserved.

  • Mohs microsurgery or Skin resurfacing – Only the cancerous lesion is shaved off and the penile skin reconstructed with other flaps. Allows sexual sensation

  • Laser Dermabrasion – Using CO2 laser or ND Yag Laser, the penile lesion can be removed while preserving sensation and length

WHAT ABOUT RADIOTHERAPY AND MEDICINES FOR PENILE CANCER?

Though advocated and recommended, I personally do not recommend radiotherapy or medicines for treatment of penile cancer. I have seen patients die due to the delay in treatment and the local side effects are terrible.

TOTAL PENECTOMY DELHI NCR AND GURGAON

If the cancer is far advanced and no penis can be saved, it is best to remove the entire penis and make a new opening to pass urine below the scrotum (Perineal urethrostomy). This procedure provides good results. But removes the entire penis.

PARTIAL PENECTOMY DELHI-PARTIAL PENECTOMY GURGAON-PARTIAL PENECTOMY DELHI NCR

I have extensive experience in treating and managing penile cancer. For Partial Penectomy Delhi and NCR, take an appointment today. Or drop a message or email for a free E Consult.