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Penectomy: man’s worst nightmare

 Imagine a man having lost his manhood, macho as he appears, he would feel embarrassed or even ashamed that his masculinity had diminished.

There are many conditions which could lead to men losing their manhood, a common one being erectile dysfunction (ED) but there is a more serious one termed penectomy.

Penectomy simply means the removal of the penis and it is not easy to agree to undergo such a procedure.

For those who have not undergone this procedure they tend to compare such men who have undergone that procedure to a castrated bull which ultimately become an ox.

A General Practitioner at the Middle star Clinic Dr Ellington Sello said the procedure is very traumatic to the patient and even the doctor as it was usually the last resort to save lives.

Dr Sello said penectomy was the full amputation of the penis at the base, and one had to have a perineal urethrostomy where the urinal tract needed to be moved entirely and a small incision done between the testicles and anus, to allow urine to pass.

He said when diagnosed with the penile cancer there was need to have the procedure done urgently.

“Too many men are dying from secondary cancers caused by penile cancer due to the embarrassment of being misdiagnosed with sexually transmitted disease (STDs) more specially men who are not faithful to their partners,” he said.

Dr Sello said immediately after the procedure had been carried out, most men start to experience problems in their love  relationships and such changes that affect the men drastically and delay healing, more specially their emotions 

He said before the procedure could be carried out for married couple they called them for counselling so that the wife could understand how their romantic life was going to be affected by the  procedure.

Dr Sello said most of the time women do not take it well as some ended up divorcing, their spouses  

He said penile cancer mostly attacked people between the ages of 35 and 45 which was the most sexually active group.

He noted that causes included human papillomavirus (HPV) infection and smoking tobacco also contributed to the development of penile cancer, especially in people who also had HPV. 

HPV is the most common sexually transmitted infection, usually harmless and goes away by itself but some types can lead to cancer or genital warts.

Dr Sello said on average 10 people undergo penectomy annually which translated to one person per month.

A Urologist at Princess Marina Referral Hospital, Dr Juan Antonio Guevara concurred with Dr Sello that patients usually came late for consultation.

Dr Guevara said penile cancers were associated with HPV types 16 and 18, tobacco use, age, and being uncircumcised.

“We could avoid this problem by orientating the male population that the lower injury at the level of male reproductive body be reported to the doctor early. To take a quick behaviour, without having to get to penectomy, “he said.

He applauded government for introducing the safe male circumcision from an early age as that would help in reducing sexually transmitted diseases. ends

Source : BOPA

Author : Aubrey Maswabi

Location : GABORONE

Event : Interview

Date : Oct 07 Wed,2020

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