Penectomy: the Emotional Trauma of Losing Your Penis

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I had a mucosal melanoma on the head of my penis (the glans). I say ‘had’ because that was before they cut my penis off. I thought I’d be more happy about being cancer free, but I was nowhere prepared for post-surgery. Though called a “partial” penectomy, it left me with barely a nub. This surreal result threw me into a debilitating depression which I am still suffering from 2 months later. Trust me, I’ve had multiple therapists, a psychiatrist, social workers, a buddy/mentor connection, this site, and even ketamine therapy. It just baffles me how big of a deal this is.

Despite the large support team, there is one glaring omission: none of my support groups, nor cancer groups so far have had an amputation of their penis. The most frequent response is, “that must be just like a woman having a mastectomy.” I assure you it is not. Not even close. Everyone agrees this is a trauma, but if you are a man it goes so, so much deeper than that. I’m still trying to come to terms with the horrific disfigurement — I haven’t even broached the possibility of ever being with a woman again. Ever.

So, I continue to flounder and take heavy doses of meds. After 2 months of disability I go back to work next week. That will also be a challenge with my frustrating immunotherapy side effects like extremely painful joints, colitis, and rapidly decreasing cognition.

Did you lose a penis in the operating room like I did? Please reach out.

 
 
  • Hi you're not alone. There is a fb group where a number of chaps have had a full penectomy.  

  • Appreciated, thanks

  • I lost mine too.. 12 years ago. It was that and chance of living or certain death. 

    Penile Cancer Awerness & Support. 

    Have a look..

  • Is it still traumatic? Does it pop up like PTSD?

    Was there a turning point when you began to accept it? After 12 years does it even phase you anymore?

    You don't need to answer, but how did your sex life go at first?

    Another question you don't need to answer: did you consider or do any reconstructive surgery?

  • So to answere each point in turn here goes;

    Yes pops up regularly, daily many times. Sometimes with triggers sometimes not. Yes been told its PTSD. Had lots of counselling which saved my life again!  It never really leaves you tbh. 

    Don't recall a turning point other than when therapy started after 2 years post op. That made me think of things and process them in a safe place , no shame or judgement. 

    Sex life is a tough one , its was a  dead zone for 4 years then I noticed some pleasure could be gained. I have learnt to achieve orgasm again despite the challenges. 

    I asked about reconstruction and my team would do it after 5 years ned. They did explain the procedures and risks, I had a higher risk index due to the extensive nerve damage in groin amd pelvis. I couldn't put myself through it and closed that chapter and moved on. 

  • Hi lonetree

    I had total penectomy in September 2023, so now been 3 years, when given the choice between the operation or the cancer, there was no choice, mine was after a partial penectomy 8 months earlier, when my cancer returned. I am fortunate in the fact I have a very loving and supportive wife, who has stood with me all the way through my journey. Unfortunately after having the penectomy, it was then discovered that my cancer had spread to my lungs, was given 12 months without treatment, glad to say I am still here 3 years later and cancer is still under control, regular scans to keep checking. 

    As for being with woman again there are other ways to please them as I have had to find out.

    I will just add I have a fairly positive attitude, have never had any form of therapy, as haven't felt the need. If you check my profile you will see what I have been through. 

    If you need anyone to talk to who has been through the same, do as you have done here and post on here, I do try and come on here regularly as realise there is very little support out there for penile cancer suffers. 

    All the best William 

  • Hello William, thanks for the support. I apologize for my dramatic post, I need to remember that killing cancer is more important than my anatomy. That's a hurdle I haven't reached yet, but posts like yours keeps things in perspective. The fact that you underwent surgery TWICE is unfathomable, but your positive attitude is inspiring. Truly.

  • I know that feeling had my op last year and still coming to terms with it 

    Single and always thought that one day I would find someone but now I don't think I ever will 

    I maybe cancer free but the trauma of loosing my penis is possibly worse my future is something I don't know where it is going 

  • Hi lonetree

    Thanks for your reply, hope you are doing ok. We are all here for each other, it's not an easy journey, but as you said not having cancer, but missing a penis, mean you and all of us are still here to live another day, mine was actually 3 operation 1st was partial, 2nd was lymph nodes on left side, and 3rd was total and lymph nodes on right side as mine came back aggressively, which then spread to my lungs, which I had 2 years of treatment for, after being told without treatment i was expected to last 12 months, that is 3 years ago next month, and i am still here. Due to the last operation am now waiting for another operation on a hernia on right side where I also been told could involve removing the right testicle. But I still look on the positive side that I am still here to live my life, and feel lucky to still be here. As I said before we are all here for each other. Reading the post on here does help me at times knowing what other people have gone through or are still going through. William 

  • Man, your ongoing positivity is something to aspire to. I'm doing 'better' but still wallow in the muck sometimes. I suppose those times never stop, but the time in between gets incrementally better. Right? I need to focus on what's important. Probably everyone but us thinks it's no big deal though, and don't understand the unique parts to this. We know differently, but put on a good face.

    Hey WilliamP, I was wondering when your cancer came back, what signs did you see internally/externally? Did they catch it on a PET Scan, or were you pretty sure already? I think you said it re-started in lymph nodes. With penectomy's I assume that's common. 

    (PS -- if they take a testicle, will that reignite similar feelings? Or is it just a "hey. Help yourself, everyone else has.")