Product Summary: AMA rates

Partial amputation of penis with penile block for postoperative pain management.

Item Number: 37402, 18262, 105

Why is it done?

  • Confirmed penis cancer, only infiltrating the distal penis.
  • No lymph nodes involved.


  • An informed consent is required from the patient.
  • Histology should have confirmed the diagnosis.
  • This is done under a general anaesthetic. Patients may not eat or drink from midnight the previous evening.
  • Patients are to refrain from smoking before the procedure.
  • Patients allergic to IODINE/CHLORHEXIDINE should clearly state this at the Pre-admission clinic as well as to theatre staff and Dr Schoeman.
  • Any anti-coagulants such as Warfarin or Aspirin must be stopped 7 days prior to surgery. Clexane injections may be substituted.

How is it done?

  • This procedure is done under general anaesthetic.
  • Supine position.
  • The Foreskin may be the only affected area and therefore a circumcision is done.
  • Otherwise the affected area is exposed and cleaned.
  • The affected lesions, usually including the glans is then removed surgically.
  • A 1-2cm clear surgical margin should be obtained, with sufficient penile length to allow effective urination.
  • The urethral meatus is reconstructed.
  • Hemostatic dressings are placed.
  • Specimen is sent to a histo-pathologist.
  • A indwelling catheter will be inserted.
  • A dressing is then applied, which should be removed after 72 hours.
  • A local anaesthetic is injected at the base of the penis as a penile block thus giving post-operative pain relief for the next 4-6 hours.

What to expect after the procedure?

  • Any anaesthetic has its risks and the anaesthetist will explain such risks.
  • Bleeding is an uncommon complication.
  • Your catheter will be removed on Day 3.
  • Long-term risk of a meatal stenosis.
  • An infection of the wound may occur and requires immediate attention.
  • DANGER SIGNS: A wound that swells immediately, fever, and puss. Contact Dr Schoeman or the hospital immediately as this occurs in up to 15–20% of all cases.

What next?

  • Dressings should be kept dry for the initial 72 hours after surgery and soaked off in a bath thereafter.
  • The dressing may sometimes adhere to the wound causing slight bleeding on removal. Don’t panic, the bleeding will stop.
  • The catheter will be removed after 3 days
  • On discharge, a prescription for 4 weeks of Antibiotics will be issued for patients to collect.
  • Patients should schedule a follow-up appointment with Dr Schoeman 4-6 weeks after the procedure.
  • At this stage: if you have any palapable inguinal lymphnodes are palpated, they will be biopsied to exclude metastatic disease.
  • Depending on the staging of the Penile Cancer, Inguinal Node dissection will be scheduled.
  • If your nodes are positive for cancer, Radiation and Chemotherapy will be discussed by an Oncologist.
  • There will be signs of bruising for at least 10 days.
  • Refrain from using your erect penis for 3-4 weeks.
  • Sick leave will be granted for a few days.
  • Please direct all further queries to Dr Schoeman’s rooms.

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Partial Penectomy