Can penile reconstruction be performed after penile cancer surgery?

Yes, penile reconstruction can be performed after penile cancer surgery. This procedure is called phalloplasty. The goal of phalloplasty is to create a new penis that is functional and cosmetically acceptable.

There are two main types of phalloplasty:

• Free flap phalloplasty: This involves transferring a piece of tissue from another part of the body, such as the forearm or thigh, to create the new penis.
• Pedicled flap phalloplasty: This involves using a piece of tissue that is still attached to its blood supply at its original site. The tissue is then rotated or flipped to create the new penis.

Phalloplasty is a complex surgery that is typically performed over multiple stages. The first stage involves creating the new penis and urethra. The second stage involves connecting the new penis to the blood supply and nerves. The third stage involves creating the glans (head of the penis).

Phalloplasty can be a life-changing procedure for men who have lost their penis to cancer. It can help them to regain their self-confidence and quality of life.

Success rates

The success rate of phalloplasty is high. Most men are able to void while standing and have sexual intercourse after surgery. However, it is important to note that phalloplasty is not a perfect surgery. Some men may experience complications such as infection, bleeding, and problems with the urethra.

Eligibility

Phalloplasty is not suitable for all men. The best candidates for surgery are those who:

• Are in good overall health
• Have no other medical conditions that would increase the risk of surgery
• Are motivated to undergo a complex surgery with a long recovery period

Cost

The cost of phalloplasty varies depending on the type of surgery performed and the surgeon’s fees. In the United States, the average cost of phalloplasty is between $50,000 and $100,000.

Penile reconstruction surgery can be considered as part of the treatment plan for individuals who have undergone surgery for penile cancer. Penile cancer surgery often involves partial or total penectomy (removal of part or all of the penis) to remove the cancerous tissue. After such surgery, individuals may experience significant changes in their genital anatomy, which can have a profound impact on their body image, self-esteem, and quality of life.

Penile reconstruction surgery in the context of penile cancer treatment aims to restore the appearance and function of the penis as much as possible while ensuring the removal of cancer. The specific reconstruction procedure chosen will depend on the individual’s medical condition, the extent of the cancer surgery, and their personal preferences. Here are some considerations:

1. Types of Reconstruction: There are various techniques for penile reconstruction after cancer surgery, including local flaps, skin grafts, and microvascular free flap surgeries. The choice of technique depends on the individual’s specific case and the expertise of the surgical team.
2. Timing: The timing of penile reconstruction surgery may vary. In some cases, reconstruction can be performed immediately after the cancer surgery. In others, it may be delayed to allow for the individual’s recovery and further assessment.
3. Function and Aesthetics: The primary goals of penile reconstruction after cancer surgery are to restore urinary function and provide a satisfactory appearance. The ability to achieve erections and sexual function may also be considered depending on the individual’s needs and preferences.
4. Consultation: Individuals who have undergone penile cancer surgery should consult with a multidisciplinary team that includes urologists, plastic surgeons, and oncologists experienced in penile reconstruction. They will assess the individual’s specific situation and discuss the best course of action.