Penectomy in Korea

Penectomy, the surgical removal of part or all of the penis, is a profound procedure performed in Korea primarily for penile cancer, severe trauma, or as a component of gender-affirming surgery. Korean urological surgeons approach this surgery with expertise, focusing on complete disease removal while addressing functional and psychological aspects for comprehensive patient care.

Reasons for Penectomy & Diagnosis in Korea

Penectomy is undertaken for specific, often serious, medical indications.

• Penile Cancer: The most common reason. Early surgical intervention is crucial.
• Severe Trauma/Infection: For irreparable damage or life-threatening infections unresponsive to other treatments.
• Gender-Affirming Surgery: As part of male-to-female (MTF) gender transition.
• Diagnosis: In Korea, diagnosis includes physical examination, biopsy, and imaging (MRI, CT) to determine the extent of the condition.

Common Surgical Techniques in Korea

The specific technique for penectomy varies based on the underlying reason and extent of removal needed.

• Partial Penectomy: Removes only the affected part, aiming to preserve enough length (typically 2-3 cm) for standing urination and potentially some sexual function.
• Total Penectomy: Complete removal of the penis, including the root. A new opening for urination (perineal urethrostomy) is created in the perineum, requiring the patient to urinate while sitting.
• Lymph Node Dissection: Often performed alongside penectomy for cancer cases to check for and remove any spread to lymph nodes in the groin or pelvis.

Recovery & Considerations in Korea

Recovery from penectomy is significant, requiring careful management and support.

• Hospital Stay: Typically ranges from a few days to about a week.
• Pain & Swelling: Managed with medication; swelling is common but subsides.
• Catheterization: A urinary catheter is usually in place for a period post-surgery.
• Functional Impact: Urination patterns will change, especially after total penectomy. Sexual function is significantly altered or lost; options for penile reconstruction or prostheses may be discussed.
• Psychological Support: Crucial, as the surgery can profoundly impact body image and identity. Counseling is often recommended.
• Cosmetic Options: Testicular implants (after orchiectomy) or penile reconstruction (phalloplasty) are possibilities, though reconstruction after total penectomy is complex and rare for cancer cases.

Korean Guidelines & Practice

Korean medical centers provide specialized care for penectomy patients.

• Multidisciplinary Approach: Urologists collaborate with oncologists, reconstructive surgeons, and mental health professionals.
• Patient Counseling: Detailed discussions about surgical implications, functional changes, and psychological support are standard.
• Advanced Facilities: Korean hospitals are equipped for complex oncological and reconstructive urological surgeries.
• Insurance Coverage: Procedures performed for medical necessity, such as cancer treatment, are generally covered by Korea's national health insurance.

Key Takeaways for Penectomy in Korea

To summarize the essential points about Penectomy in Korea:

• Significant Surgery: Involves partial or total removal of the penis.
• Primary Uses: Treats penile cancer, severe trauma, or is part of gender-affirming surgery.
• Varies by Extent: Partial removal aims to preserve function; total removal requires a new urinary opening.
• Holistic Support: Includes surgical expertise, management of functional changes, and psychological care.

We hope this guide clarifies Penectomy in Korea. Always consult a qualified medical professional for personalized advice, diagnosis, and treatment.