✦ Penile Cancer Treatment

Partial Penectomy

Q: Can I still urinate normally after partial penectomy?

Yes — a minimum 3 cm stump allows upright voiding with a good stream; shorter stumps require sitting to void.

Q: What is the recurrence rate after partial penectomy?

Local recurrence rate is 5–8% at 5 years; urethral or stump recurrence requires total penectomy. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: Is sexual function possible after partial penectomy?

Many men with adequate penile stump length maintain satisfying sexual function including orgasm and ejaculation after partial penectomy. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Partial Surgical Removal of the Penis for Localised Penile Cancer

60–90 min PROCEDURE

1–2 Days HOSPITAL STAY

>80% SUCCESS RATE

3–4 Weeks RECOVERY

What is Partial Penectomy?

Partial Penectomy surgically removes the distal portion of the penis containing the tumour, leaving a residual penile stump of at least 3 cm to maintain upright voiding. A 10 mm surgical margin beyond the visible tumour is required for clear margins. It is indicated for tumours not suitable for organ-preserving surgery due to size, depth of invasion, or proximity to the urethra. Reconstruction of the urethral meatus is performed simultaneously. The procedure is performed under general or spinal anaesthesia with a hospital stay of 1–2 Days.

Patients with penile cancer (T2–T3) where organ-preserving surgery cannot achieve clear margins but sufficient shaft length can be preserved for upright voiding. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Incision & Access

Penile tourniquet applied; circumferential incision made at planned resection level.

Penile Division

Penis divided through the corpora cavernosa and urethra 10 mm proximal to the tumour.

Margin Assessment

Frozen section of proximal margin performed; re-excision performed if positive.

Glansplasty

Urethra spatulated; glansplasty performed to create a cosmetically acceptable neo-glans.

Closure & Catheter

Skin closed; catheter placed; specimen sent for definitive histology.

Outcomes

60–90 minDURATION

1–2 DaysHOSPITAL STAY

>80%SUCCESS RATE

3–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Achieves clear surgical margins where organ preservation is not oncologically safe.
→Maintains upright voiding function if stump length exceeds 3 cm.
→Maintains erectile function and sexual activity in selected patients.
→Lower recurrence rate than organ-preserving surgery for higher-stage tumours.
→Glansplasty creates a cosmetically acceptable penile stump appearance.
→Sentinel node or inguinal lymph node dissection performed simultaneously for staging.

"Partial penectomy strikes the balance between oncological safety and functional preservation. When organ-preserving surgery is not enough, partial penectomy cures the cancer while maintaining the dignity of upright voiding."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Can I still urinate normally after partial penectomy?+

What is the recurrence rate after partial penectomy?+

Is sexual function possible after partial penectomy?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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