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Genital area of male after partial penectomy.
Medical reasons for penectomy
Cancer, for example, sometimes necessitates removal of part or all of the penis. 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.
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. For instance, the American Cancer Society's Cancer Survivors Network website provides information for finding support networks. Phalloplasty is also an option for surgical reconstruction of a penis.
Patients that have undergone a partial penectomy as a result of a penile cancer diagnosis have reported similar sexual outcomes as prior to surgery. Sexual support therapists and specialists are available nationally in the United States and can be accessed through the specialist cancer services. 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.
Genital surgical procedures for trans women undergoing genital reconstruction 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. Some trans women have undergone penectomies, however this is much rarer.
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.
Male members in the sect of skoptsy (Russian: скопцы, "castrated") were required to become castrated, either only the testicles ("lesser seal") or also the penis ("greater seal").
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- Kennard, Jerry (2006-07-22). "Penectomy: Partial and Total Removal of the Penis". About.com. Retrieved 2011-09-25.
- "Cancer Survivors Network". American Cancer Society. Retrieved 2011-09-25.
- Sansalone, Salvatore; Silvani, Mauro; Leonardi, Rosario; Vespasiani, Giuseppe; Iacovelli, Valerio (2015). "Sexual outcomes after partial penectomy for penile cancer: results from a multiinstitutional study". Asian Journal of Andrology. 0 (0): 0. doi:10.4103/1008-682X.168690. ISSN 1008-682X. PMC 5227676. PMID 26643562.
- Zavlin, Dmitry; Schaff, Jürgen; Lellé, Jean-Daniel; Jubbal, Kevin T.; Herschbach, Peter; Henrich, Gerhard; Ehrenberger, Benjamin; Kovacs, Laszlo; Machens, Hans-Günther (2018). "Male-to-Female Sex Reassignment Surgery using the Combined Vaginoplasty Technique: Satisfaction of Transgender Patients with Aesthetic, Functional, and Sexual Outcomes". Aesthetic Plastic Surgery. 42 (1): 178–187. doi:10.1007/s00266-017-1003-z. ISSN 1432-5241. PMID 29101439.