Penile Cancer Surgery Melbourne
Partial penectomy is a surgical procedure to remove cancerous tissue from the penis while preserving as much healthy penile tissue as possible. It is the standard surgical treatment for localised penile cancer when the tumour location and size permit preservation of a functional penile stump. The goal is to achieve complete cancer removal with adequate surgical margins while maintaining the ability to urinate standing and, where possible, sexual function. Dr Dias approaches each case individually to optimise both oncological and functional outcomes.
Written and clinically reviewed by Dr Brendan Dias
Consultant Urologist & Robotic Surgeon · MBBS, MS (General Surgery), DrNB (Urology), IntFRCS (England), FUSANZ, FRACS (Urology)
Last clinically reviewed: 26 August 2026
Benefits
- Complete removal of penile cancer with curative intent
- Preservation of as much penile length as possible
- Maintains ability to urinate standing in most cases
- May preserve sexual function depending on extent of surgery
- Lower psychological impact compared to total penectomy
- Well-established procedure with good long-term outcomes
The Procedure
Partial penectomy is performed under general anaesthesia. The tumour location is carefully assessed to plan the resection margin (typically 1-2cm of normal tissue beyond the visible tumour). The penis is amputated at the planned level, and the urethra is spatulated and sutured to the skin to create a new urethral opening (meatus). The wound is closed with dissolvable sutures. A catheter is usually placed for 1-2 weeks to allow healing of the new meatus. The removed tissue is sent for pathological examination to confirm clear margins.
Who Is a Candidate?
Partial penectomy is indicated for localised penile squamous cell carcinoma where complete excision with adequate margins can be achieved while preserving a functional penile stump. The decision depends on tumour size, location (distal tumours more suitable), stage, and individual patient factors. Patients with very distal tumours may be candidates for glansectomy with reconstruction. Those with more proximal or extensive disease may require total penectomy. Multidisciplinary discussion guides treatment planning.
Recovery
Hospital stay is typically 1-3 days. A urinary catheter remains in place for 1-2 weeks. Wound care involves keeping the area clean and dry. Return to work depends on the nature of your job but is typically 2-4 weeks. Swelling and bruising resolve over several weeks. Psychological support is available and encouraged as this surgery can significantly impact body image and sexual function. Follow-up includes regular examinations to monitor for local recurrence.
Risks & Considerations
Partial penectomy carries surgical risks including bleeding, infection, wound breakdown, and urethral stenosis (narrowing of the new urethral opening). Long-term considerations include altered urination (may need to sit), reduced penile length affecting sexual function, local recurrence requiring further surgery, and psychological impact. Dr Dias will discuss all aspects thoroughly, including referral to specialist cancer nurses and psychologists as needed.