Penile excision, also known as penectomy, is a surgical procedure performed to treat penile cancer or other severe penile conditions where preserving health and preventing disease spread is the priority.
Under the expert care of Dr. Ajinkya Kasekar, partial or total penile excision is performed with precision, compassion, and a strong focus on both oncological safety and quality of life.

What Is Penile Excision?

Penile excision involves the surgical removal of:

• Part of the penis (Partial Penectomy), or

• The entire penis (Total Penectomy)

The extent of surgery depends on the stage, size, and spread of disease, with the goal of complete disease removal while preserving as much function as safely possible.

When Is Penile Excision Required?

Penectomy is most commonly required for:

• Penile cancer

• Advanced or recurrent penile tumors

• Large ulcerative or non-healing penile lesions

• Severe infection or tissue destruction (rare cases)

• Failed conservative or organ-preserving treatments

Early diagnosis can often allow partial excision, avoiding total removal.

Symptoms That Need Immediate Evaluation

• Painless lump or growth on the penis

• Non-healing ulcer or wound

• Bleeding or discharge from penile skin

• Change in color or thickening of penile skin

• Pain or swelling of the penis

• Enlarged groin lymph nodes

Any persistent penile lesion should be evaluated urgently.

Types of Penile Excision

1. Partial Penectomy

Only the cancer-affected portion of the penis is removed, leaving enough length for urination in standing position and, in some cases, sexual function.

Preferred when:

• Cancer is localized

• Tumor is small and confined

• Adequate margins can be preserved

2. Total Penectomy

The entire penis is removed to ensure complete cancer clearance.

Required when:

• Cancer is extensive or deeply invasive

• Tumor involves the penile base

• Partial excision cannot achieve safe margins

In total penectomy, a new urinary opening (perineal urethrostomy) is created to allow urination in a sitting position.

How the Procedure Is Performed

1. Surgery is done under spinal or general anesthesia.

2. Cancer-affected tissue is removed with safe margins.

3. Reconstruction of the urinary passage is performed if required.

4. Groin lymph node evaluation may be advised based on cancer stage.

5. Wound is closed carefully for optimal healing.

Procedure time: 1–2 hours, depending on extent.

Recovery After Surgery

Most patients:

• Stay in hospital for 2–4 days

• Resume basic activities within 2–3 weeks

• Experience manageable discomfort with medication

• Receive detailed wound and hygiene care instructions

• Undergo further cancer staging and follow-up

Life After Penile Excision

• Partial penectomy: Many patients retain urinary control and some sexual function

• Total penectomy: Normal urination is possible through a new opening; sexual counseling and psychological support are provided

• Emotional and psychological support is an important part of recovery

Dr. Ajinkya Kasekar ensures complete counseling and long-term support.

Why Choose Dr. Ajinkya Kasekar?

• Expertise in urological cancer surgery

• Focus on cancer control with function preservation

• Ethical, patient-centric decision making

• Compassionate handling of sensitive conditions

• Multidisciplinary approach when needed

• Strong post-operative and oncological follow-up

Importance of Early Detection

Penile cancer detected early can often be treated with organ-preserving surgery.
Delays may lead to more extensive surgery and reduced outcomes.

Book a Consultation

If you have noticed any abnormal growth, ulcer, or persistent lesion on the penis, early evaluation is crucial.
Consult Dr. Ajinkya Kasekar for expert diagnosis, counseling, and safe surgical management.