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[Sexual possibilities following total penis amputation]
1Divisie Obstetrie en Gynaecologie, Academisch Ziekenhuis, Postbus 85500, 3508 GA, Utrecht.
Nederlands Tijdschrift Voor Geneeskunde
|July 17, 1993
Summary
Penile carcinoma treatment involving total penis amputation and perineal urethrostomy can preserve sexual function. Post-surgery counseling helped a patient and his wife achieve satisfactory sexual experiences, including orgasm.
Area of Science:
- Urology
- Oncology
- Sexology
Background:
- Penile carcinoma necessitates radical treatment, often involving total penis amputation.
- Creating a perineal urethral stoma is a surgical option for urinary diversion post-penectomy.
- Sexual function after penile reconstruction or diversion is a significant concern for patients.
Observation:
- A 45-year-old male underwent total penis amputation due to penile carcinoma, followed by the creation of a perineal urethral stoma.
- The patient experienced an uneventful postoperative recovery.
- One month post-surgery, the patient expressed sexual desire, but his wife initially hesitated.
Findings:
- Medical-sexological counseling was provided to the patient and his wife.
- Following counseling, the couple achieved satisfactory sexual functioning.
- The patient was able to experience orgasm occasionally.
Implications:
- This case highlights the potential for maintaining sexual function and relationship satisfaction after extensive penile surgery for cancer.
- Medical and sexological support is crucial for patients and partners navigating sexual health post-penectomy.
- Further research into long-term outcomes and quality of life after penile cancer treatment is warranted.