Overview

Penile excision, also known as penectomy, is a surgical procedure performed to remove part or all of the penis. It is primarily done to treat penile cancer, a rare but serious condition that develops on the skin or tissues of the penis.

Depending on the extent of the disease, Dr. Swapnil Gholap performs either partial or total penectomy to ensure complete removal of cancerous tissue while preserving urinary and sexual function whenever possible. His approach focuses on oncological safety, cosmetic outcomes, and patient comfort.

When is Penile Excision Recommended?

This procedure is typically recommended for:

• Penile cancer (localized or advanced)

• Severe infection or gangrene (Fournier’s gangrene)

• Traumatic injury to the penis

• Recurrent or non-healing ulcers or lesions

• Invasive tumors not responding to other treatments

Types of Penectomy

1. Partial Penectomy

   • Only the affected portion of the penis is removed.

   • The remaining part allows for normal urination and partial sexual function.

2. Total Penectomy

   • The entire penis is removed in advanced or widespread cancer.

   • A perineal urethrostomy (new urinary passage near the scrotum) is created to allow comfortable urination.

Procedure

The surgery is performed under spinal or general anesthesia.
Depending on the extent of the disease:

• The affected tissue is carefully removed with a margin of healthy tissue to prevent cancer recurrence.

• Lymph node dissection may be performed if cancer has spread.

• The surgical site is reconstructed for optimal healing and function.

• In some cases, reconstructive surgery or penile prosthesis may be offered later for cosmetic or functional restoration.

Benefits of Penile Excision

• Effective and life-saving treatment for penile cancer

• Prevents cancer spread to other organs

• Preserves urinary function (in partial cases)

• Option for reconstructive surgery post-treatment

• Improved long-term survival when detected early

Recovery & Aftercare

• Hospital stay is usually 2–4 days.

• Mild pain or swelling may persist for a few days and is managed with medication.

• Proper wound care and hygiene are essential for healing.

• Regular follow-ups and imaging are recommended to monitor recovery and ensure no recurrence.

• Psychological counseling and support are available to help patients adjust post-surgery.

Why Choose Dr. Swapnil Gholap

With advanced expertise in urological oncology and reconstructive surgery, Dr. Swapnil Gholap offers precise, compassionate, and personalized care for patients with penile cancer and related conditions. His focus is not only on curing disease but also on restoring dignity, comfort, and confidence in every patient.