Partial Penectomy: What You Need to Know

If you or a loved one has been told that a partial penectomy is needed, the first reaction is often fear. It’s a big word, but the basics are simple: the surgeon removes only the part of the penis that has cancer or severe disease, leaving the rest intact. This approach aims to get rid of the problem while preserving as much function and appearance as possible.

The surgery is usually recommended for early‑stage penile cancer that hasn’t spread beyond the glans or shaft. Doctors weigh several factors—tumor size, location, and the patient’s overall health—before deciding that a partial removal is enough. In many cases, it can prevent the need for a total penectomy, which would remove the entire organ.

Why doctors recommend partial penectomy

Removing just the affected segment helps keep urinary and sexual function. Most men can still urinate standing up and retain enough erectile tissue for sexual activity, although a doctor may suggest counseling or devices to aid performance. The smaller the incision, the quicker the healing, and the lower the risk of complications like infection or bleeding.

Another advantage is psychological. Keeping part of the penis can reduce the emotional impact of the surgery, helping patients adjust more easily to life after the procedure. Still, it’s important to have realistic expectations—some changes in sensation or appearance are normal.

Recovery and daily life after surgery

Recovery usually takes 4 to 6 weeks. In the first few days, you’ll have a catheter to drain urine and a dressing over the incision. Keep the area clean, follow the surgeon’s wound‑care instructions, and avoid heavy lifting or strenuous activity until cleared.

Pain is managed with prescribed medication; most people report it being mild to moderate. You’ll also get instructions on how to change dressings and watch for signs of infection, such as redness, swelling, or fever. If anything looks off, call your doctor right away.

When the catheter is removed, you may notice a slightly altered stream of urine. This often improves with time and pelvic‑floor exercises. Some men use a condom catheter or a standing urination aid during the early weeks to stay comfortable.

Sexual life may need a short pause. Doctors typically advise waiting at least 6 weeks before resuming intercourse. When you feel ready, using lubricants and trying different positions can help. If erectile function is a concern, talk to a urologist about medication, vacuum devices, or counseling.

Follow‑up visits are crucial. Your surgeon will check the healing site, run imaging tests if needed, and discuss any additional treatment like topical therapy or radiation. Keeping those appointments helps catch any recurrence early.

In short, a partial penectomy is a targeted, organ‑preserving surgery that offers a good balance between cancer control and quality of life. With proper care, most men bounce back, return to work, and enjoy a satisfying personal life. Stay proactive, ask questions, and lean on your medical team—they’re there to guide you every step of the way.

Penile Cancer Surgery Options: A Complete Guide to Treatment Choices

Penile Cancer Surgery Options: A Complete Guide to Treatment Choices

Explore all surgical options for penile cancer, from partial penectomy to Mohs surgery, with pros, cons, and recovery tips.