Partial Penectomy

Partial amputation of penis with penile block for postoperative pain management.

This procedure is done under general anesthetic.
Supine position.
The foreskin may be the only affected area and therefore a circumcision is done.
Otherwise, the affected area is exposed and cleaned.
The affected lesions, usually including the glans is then removed surgically.
A 1-2 cm clear surgical margin should be obtained, with sufficient penile length to allow effective urination.
The urethral meatus is reconstructed.
Hemostatic dressings are placed.
Specimen is sent to a histopathologist.
An indwelling catheter will be inserted.
A dressing is then applied, which should be removed after 72 hours.
A local anesthetic is injected at the base of the penis as a penile block thus giving post-operative pain relief for the next 4-6 hours.

Any anesthetic has its risks, and the anesthetist will explain such risks.
Bleeding can occur.
Your catheter will be removed on Day 3.
Long-term risk of a meatal stenosis.
An infection of the wound may occur and requires immediate attention.
DANGER SIGNS: A wound that swells immediately, fever, and puss. Contact Dr Schoeman or the hospital immediately as this occurs in up to 15–20% of all cases.

Dressings should be kept dry for the initial 72 hours after surgery and soaked off in a bath thereafter.
The dressing may sometimes adhere to the wound causing slight bleeding on removal. Don’t panic, the bleeding will stop.
The catheter will be removed after 3 days
Patients should schedule a follow-up appointment with Dr Schoeman 4-6 weeks after the procedure.
At this stage: if you have any inguinal lymph nodes are palpated, you will be placed on antibiotics. This will be reviewed in 6 weeks.
Depending on the staging of the Penile Cancer, Inguinal Node dissection will be scheduled.
If your nodes are positive for cancer, Radiation and Chemotherapy will be discussed by an Oncologist.
There will be signs of bruising for at least 10 days.
Refrain from using your erect penis for 6 weeks.
PLEASE CONTACT THE HOSPITAL DIRECTLY WITH ANY POST-OPERATIVE CONCERNS AND RETURN TO THE HOSPITAL IMMEDIATELY SHOULD THERE BE ANY SIGNS OF SEPSIS.

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Wes Penectomy Partial