Partial Penectomy

Partial penectomy is typically recommended for patients with penile cancer that cannot be treated with less invasive procedures. This surgery aims to:

• Completely remove the cancerous tumour and a margin of surrounding tissue
• Preserve urinary function by allowing the urethral opening to remain at the tip of the remaining penis
• Maintain as much of the appearance, length, and function of the penis as possible

In some cases, a skin graft may be used to improve coverage and appearance.

You will be contacted 1–2 weeks prior to your scheduled procedure with specific fasting instructions and hospital admission details. You will also receive a link to complete your online admission forms.

It is important to advise the rooms if you are taking any blood thinners or any prescribed medications for diabetes or weight loss purposes. The rooms can be contacted on   9329 1197

The procedure is performed under general or spinal anaesthesia. It usually involves the following:

• The cancerous portion of the penis is surgically removed and sent for testing (this often includes the head of the penis and part of the shaft)
• If required, a skin graft (commonly from the thigh) is used to cover the remaining penis and reconstruct the tip.
• The urethra is brought forward and positioned at the new tip of the penis to allow urination.
• The wound is closed using dissolvable stitches and a firm dressing is applied to minimise bruising and swelling.

If a skin graft is used, dressings may remain in place for 7–10 days. You will also wake up with a urinary catheter inserted, allowing urine to drain while the area heals.

You will usually remain in the hospital 3-5 days following your procedure. You will then be discharged with a urinary catheter in place and will be shown by the nursing team how to manage it. A follow-up appointment will be arranged for you to remove your surgical dressing and catheter. If you have returned home and do not have an appointment to see our Urology Nurse, please call the rooms on   9329 1197.

Once at home, please note the following:

• Bruising and swelling of the penis is expected and usually lasts for several days.
• Pain relief and antibiotics may be prescribed. Please ensure you have a clear understanding of when to take these and that you complete the course that was prescribed to you.
• Driving should be avoided for 4–6 weeks
• Vigorous exercise or heavy lifting should be avoided for 6–8 weeks

• Signs of infection such as a fever.
• Long-lasting nausea and vomiting.
• Inability to urinate or difficulty urinating.
• Excessive pain that you can’t control with your prescribed medications or over the counter pain relief medication.