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What Are The Risks Involved In Removing The Penis?

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Posted on Tue, 8 Jul 2014
Question: Im a 55 yr old white XXXXXXX male in fairly good health, but I would like to have my penis removed for personal reasons. What is involved and what are the risks?
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Answered by Dr. Shoaib Khan (3 hours later)
Brief Answer:
Lots of risks involved per- and post-operatively

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us sir.

I respect your privacy and personal choice, but the only reason I would advise against the procedure is due to the immediate (per-operational/during surgery) and post-operative consequences the procedure can have.

There are of course various surgical techniques/approaches involved in attaining castration, but medically speaking, none of them are completely safe and they all carry a high amount of risk, especially that of blood loss. The procedure would involved a small incision made first to reach and disrupt the blood supply and the spermatic cord. Once the blood supply has been completely disrupted, the testes and scrotum can be excised. A skin flap is created and sutured to complete the procedure.

Post-operatively there have been many reports of suicidal tendencies, depression, change in distribution of fat, male-pattern baldness, loss of body hair, gynaecomastia, prostate cancer, etc.

The reason why there are so many long-term side effects is due to the drop in hormone levels after the testes (which are responsible for production of the hormones) are removed. Despite hormone supplements which are mandatory after the procedure, many of these side effects are still seen.

I hope you find my response both helpful and informative sir. Please write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What Are The Risks Involved In Removing The Penis?

Brief Answer: Lots of risks involved per- and post-operatively Detailed Answer: Hello sir and welcome. Thank you for writing to us sir. I respect your privacy and personal choice, but the only reason I would advise against the procedure is due to the immediate (per-operational/during surgery) and post-operative consequences the procedure can have. There are of course various surgical techniques/approaches involved in attaining castration, but medically speaking, none of them are completely safe and they all carry a high amount of risk, especially that of blood loss. The procedure would involved a small incision made first to reach and disrupt the blood supply and the spermatic cord. Once the blood supply has been completely disrupted, the testes and scrotum can be excised. A skin flap is created and sutured to complete the procedure. Post-operatively there have been many reports of suicidal tendencies, depression, change in distribution of fat, male-pattern baldness, loss of body hair, gynaecomastia, prostate cancer, etc. The reason why there are so many long-term side effects is due to the drop in hormone levels after the testes (which are responsible for production of the hormones) are removed. Despite hormone supplements which are mandatory after the procedure, many of these side effects are still seen. I hope you find my response both helpful and informative sir. Please write back to me for any further clarifications, I would be more than happy to help you. Best wishes.