Men are usually surprised to learn that a satisfying sex life is possible after partial penectomy. The remaining shaft of the penis still becomes erect with excitement. It usually gains enough length to achieve penetration. Although the most sensitive area of the penis (the glans or "head") is gone, a man can still reach orgasm and have normal ejaculation. His partner also can still enjoy intercourse and often reach orgasm.

If the shaft cannot be saved, the man must have a total penectomy. This operation removes the entire penis, including the roots that extend into the pelvis. The surgeon creates a new opening for the urethra (tube from the bladder) between the man's scrotum (sac for the testicles) and his anus. The man can still control his urination, because the "on-off" valve in the urethra is above the level of the penis.

Some men give up on sex after total penectomy. Since cancer of the penis is most common in elderly men, many have already stopped sexual activity because of other health problems. If a man is willing to put some effort into his sex life, however, pleasure is possible after total penectomy. He can learn to reach orgasm when sensitive areas such as the scrotum, skin behind the scrotum, and the area surrounding the surgical scars are caressed. Having a sexual fantasy or looking at erotic pictures or stories can also increase excitement.

Men can help their partner reach orgasm by genital caressing with their fingers, by oral sex, or by stimulation with a vibrator. The activity some couples enjoy after total penectomy can give hope to those coping with lesser changes in their sex lives.

Revised: 10/22/2004