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| {{Content warning|genitals, reproductive organs, and surgery, with a photo of the results}}
| | Penectomy is the surgical removal of the penis. It can be a partial penectomy, where some of the shaft remains and sexual penetration can still be achieved or a total penectomy which removes the entire penis- which means sexual intercourse is no longer possible. |
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| | Penectomy is usually done to treat cancer of the penis but it can also be done for non binary reasons. A person may choose to undergo a voluntary penectomy with or without an orchiectomy (removal of the testicles) as part of genital nullification. During a penectomy the penis is amputated leaving a small stump for voiding or a perineal reroute is performed underneath the testicles. |
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| '''Penectomy''' is surgical removal of the penis, for medical or personal reasons, without trying to reconstruct the genitals into a vagina.<ref name="trans bodies 617">Laura Erickson-Schroth, ed. ''Trans Bodies, Trans Selves: A Resource for the Transgender Community.'' Oxford University Press, 2014. Page 279, 617.</ref>
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| Disambiguation: penectomy only refers to the removal of the penis. When the testicles as well as the penis are removed, this is called [[emasculation]]. Emasculation is a form of [[genital nullification]]. Removal of just the testicles is called [[orchiectomy]] or "orchi" for short. Historically, removal of the testicles was called castration.<ref name="mtfsNBsurg">{{Cite web |title=Non-Binary Options For Bottom Surgery |author= |work=MTFsurgery.net |date=8 April 2020 |access-date=28 June 2020 |url= https://www.mtfsurgery.net/non-binary-surgery.htm|archive-url=https://web.archive.org/web/20230609111136/https://www.mtfsurgery.net/non-binary-surgery.htm |archive-date=17 July 2023 }}</ref> This page should focus only on the removal of the penis.
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| ==Penectomy as part of a gender transition==
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| For some [[transgender]] people, who may or may not think of themselves as having a [[nonbinary]] identity, a penectomy can be a part of their physical gender transition. In the United States, penectomies are rare. It is currently more common for trans people who seek [[bottom surgery]] to have the penis reconstructed into a vagina. That is a different surgery, called [[vaginoplasty]].<ref name="trans bodies 617" />
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| ==Penectomy to treat other physical problems==
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| Cancer sometimes necessitates removal of part or all of the penis.<ref name="pmid17896151">{{Cite journal |last1=Korets |first1=Ruslan |last2=Koppie |first2=Theresa M. |last3=Snyder |first3=Mark E. |last4=Russo |first4=Paul |title=Partial Penectomy for Patients With Squamous Cell Carcinoma of the Penis: The Memorial Sloan-Kettering Experience |journal=Annals of Surgical Oncology |volume=14 |issue=12 |pages=3614–3619 |year=2007 |pmid=17896151 |issn=1068-9265 |doi=10.1245/s10434-007-9563-9}}</ref> The amount of penis removed depends on the severity of the cancer. Some men have only the tip of their penis removed. For others with more advanced cancer, the entire penis must be removed.<ref name="menshealth">{{Cite web |last=Kennard |first=Jerry |title=Penectomy: Partial and Total Removal of the Penis |publisher=About.com |date=2006-07-22 |url=http://menshealth.about.com/od/cancer/a/Penectomy.htm |accessdate=2011-09-25|archive-url=https://web.archive.org/web/20171023235804/http://menshealth.about.com/od/cancer/a/Penectomy.htm |archive-date=17 July 2023 }}</ref>
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| In rare instances, botched circumcisions have also resulted in full or partial penectomies, as with David Reimer.
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| Fournier gangrene can also be a reason for penectomy and/or [[orchiectomy]].
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| ===Follow-up support===
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| Because of the rarity of cancers which require the partial or total removal of the penis, support from people who have had the penis removed can be difficult to find locally. Website support networks are available.<ref name="menshealth" /> For instance, the American Cancer Society's Cancer Survivors Network website provides information for finding support networks.<ref name="acs-csn">{{Cite web| title=Cancer Survivors Network |publisher=American Cancer Society |url=http://csn.cancer.org/ |accessdate=2011-09-25|archive-url=https://web.archive.org/web/20230308043559/https://csn.cancer.org/ |archive-date=17 July 2023 }}</ref> Surgery to create a penis (called [[phalloplasty]]) is also an option for reconstruction of a penis after penectomy.
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| ===Sexual support===
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| Patients that have undergone a partial penectomy as a result of a penile cancer diagnosis have reported similar sexual outcomes as prior to surgery.<ref>{{Cite journal|last=Sansalone|first=Salvatore|last2=Silvani|first2=Mauro|last3=Leonardi|first3=Rosario|last4=Vespasiani|first4=Giuseppe|last5=Iacovelli|first5=Valerio|date=2015|title=Sexual outcomes after partial penectomy for penile cancer: results from a multiinstitutional study|url=http://www.ajandrology.com/preprintarticle.asp?id=168690|journal=Asian Journal of Andrology|language=en|volume=0|issue=0|pages=0|doi=10.4103/1008-682X.168690|issn=1008-682X|pmc=5227676|pmid=26643562|archive-url=https://web.archive.org/web/20220927111340/https://www.ajandrology.com/preprintarticle.asp?id=168690|archive-date=17 July 2023}}</ref> Sexual support therapists and specialists are available nationally in the United States and can be accessed through the specialist cancer services.<ref name="menshealth" /> Many surgeons or hospitals will also provide this information post operatively. Local government health services departments may be able to provide advice, names, and contact numbers.
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| ==Images==
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| [[File:Partial penectomy.jpg|thumb|A photo of a person's groin after partial penectomy.]]
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| ==See also==
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| *[[Practical resources]]
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| *[[Saving up for transition expenses]]
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| ==References==
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| <references/>
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| [[Category:Transition]]
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