Partial and Full Penectomy Proceedures

The images and proceedures below are for informational purposes ONLY.
They may make it look easy and simple, but the proceedure is FAR from simple or easy.

Partial Amputation of the Penis

The indications for amputation of the penis are carcinoma of the penis or urethra, suppurative or necrotic balanitis and
crushing injuries. Amputation may be either partial or complete, depending upon the extent of the lesion, the age and
physical condition of the patient and the desire to leave a partially functioning organ after the operation.
In most of these 1esions there is gross infection which should be treated by intensive chemotherapy.

The position of the patient depends upon the procedure to be done. If a partial amputation is to be performed,
the patient may be placed supine. For a radical operation, the patient should be in the lithotomy position.
The anesthesia of choice is usually spinal. However, any one of the general anesthesias may be used.

After the operative field has been thoroughly cleansed with antiseptic solutions and draped, a tourniquet may be placed
at the base of the penis to help control bleeding (A). A circular incision is then made around the penis about 1-½ in.
proximal to the most palpable induration, and the tissue is divided dow" to the fibrous sheath surrounding the corpora.
The dorsal vein, artery and nerves are identified, exposed, clamped and ligated (B). The corpora cavernosa are divided
down to the region of the spongiosum and urethra. The corpus spongiosum and the urethra are resected from the
undersurface of the corpora cavernosa and are divided about ½-¾ in. distal to the incision through the corpora cavernosa.

The corpora cavernosa are then Sutured with several mattress sutures (C) that pass through the fibrous sheath on each side
and the septum in the midline. These are tied tightly (D) and the tourniquet released to See if hemorrhage has been controlled.
If there is any bleeding, additional mattress sutures are applied. The skin is then drawn down over the ends of the corpora
cavernosa and sutured (E). The corpus spongiosum and urethra may be permitted to extend beyond the Skin for ½ in, or
more to allow for the retraction which occurs at the time of healing, or, allowing for retraction, the mucosa may be sutured
to the, skin, as shown in E. A catheter is inserted through the urethra into the bladder and left indwelling.

Complete Amputation of the Penis

When complete amputation of the penis is performed, a circular incision is made around the base of the penis (A).
On the dorsal surface, the subcutaneous tissue and suspensory ligament are divided (B).
On the ventral surface, the corpus spongiosum and urethra are identified and dissected free from the corpora cavernosa (C)
for a distance sufficient to allow the urethra to be brought through a stab wound in the perineum, as illustrated in E.
The urethra should be allowed to extend ½-¾ in, beyond the skin surface to compensate for the contraction that occurs
during the process of healing, or the distal end of the urethra may be incised to form flaps
and the flaps sutured to the skin edges.

With the urethra safely out of the field of dissection, the corpora cavemosa are bluntly dissected to their insertion to the
rami of the pubis and ischium (D). The corpora are then divided as near to their insertion as possible by electro- or sharp
dissection. The stumps are closed with chromic #2 catgut mattress sutures that pass through the fibrous sheath in each side.
The incision is closed with interrupted catgut or silk sutures and the operative area drained by Penrose drains (E).

For another medical article dealing with the penis you can go to this link;
Penis Injection Therapy
It deals with injection of a medication that can make the penis erect arificially.
Again, that article is given only for informational purposes, and not to instruct you on how to do it at home.

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