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Penectomy is a surgical procedure that involves removing all or part of the penis. It is mainly used as a treatment option for penile cancer. Penile cancer is a collection of malignant (cancerous) cells inside or on the tissue of the penis. This procedure is the most common and best-known method to treat penile cancer that has grown deep inside the penis. Removing all the cancer is the goal of the surgery.
In some cases, penectomy may also be performed in male-to-female sex reassignment surgery, especially for trans women who are planning a vaginoplasty. Very rarely, the procedure might be recommended after severe penile trauma.
When estimating the overall price of the Penectomy in Taiwan, it's mandatory to take into account the various elements that add up to the comprehensive cost. Usually, these comprise the fee for the surgeon's services, general anesthesia or sedation, facility or hospital charges, and any incurred costs pertaining to post-treatment care. It's also significant to weigh in factors such as the duration of hospitalization, essential medications, and any suggested physical therapy or rehabilitation, all of which might escalate the entire cost.
Do note, while the financial obligations linked with the Penectomy are a crucial aspect, they should not become the exclusive decision-making criterion. Ascertaining that you are under the care of a commendable professional, operating in a clinic with a history of successful results, is immensely important.
Penectomy can involve different techniques: total or partial. The surgery may also include additional procedures.
After total penectomy, your surgeon will also create a new opening for urine to drain from the perineum, which is the area between the anus and the scrotum. This procedure is called a perineal urethrostomy. Since the sphincter muscle (the “on and off” valve) in your urethra is left behind, urination can still be controlled but you will have to sit to urinate. With partial penectomy, you should still be able to urinate while standing up through the remaining penis.
For very advanced cancers, a further procedure known as emasculation may be done during as well. This procedure involves removing the penis along with the scrotum and the testicles. In certain cases, such as when cancer invades deep tissue, removing some of your lymph nodes may be necessary.
For trans-women, penectomy may not involve the complete removal of the penis. All or parts of the glans are usually left and reshaped as a clitoris. The skin of the penile shaft is usually inverted in order to form the vagina. In some cases, the scrotum is used to form the vaginal walls, while the skin of the penile shaft is used to form the labia majora.
Both total and partial penectomy can be carried out under either spinal or general anesthesia. With spinal anesthesia, you will remain awake but the area of the surgery will be totally numbed, while with general anesthesia, you will be asleep throughout the operation.
You will need a short stay in the hospital, usually around one or two nights, following a penectomy, whether total or partial. After you are discharged from the hospital, do not leave Taiwan immediately. Plan to stay at least 7 to 10 more days after your surgery for follow-up checkups and initial recovery.
Consider using this occasion to rejuvenate, consume a nourishing diet, and participate in light physical workout under the supervision of a medical expert. Such a holistic strategy towards post-surgery care promotes a trouble-free recovery and minimizes the danger of potential side effects.
The recovery period may vary depending on why you underwent the procedure and your overall health. In general, you need to take things easy for at least 4 to 6 weeks following the surgery. Make sure to avoid any strenuous activity, including heavy lifting, gardening, and shopping. You should be able to go back to work within 4 weeks after your penectomy
During your recovery period, you may need a friend or a family member to take care of the daily tasks. If you cannot find anyone who is available to help you full time, consider hiring a helper. Your surgeon will give you detailed post-operative instruction. It is important that you follow everything in the instruction to have a smooth and quick recovery.
Your doctor will prescribe painkillers. Make sure that you take the painkillers regularly as prescribed and not just when you feel pain. You will be given medications to prevent infections, constipation, and blood clots as well. You may also need to wear anti-embolism stockings, or anti-blood clot stockings, in order to protect the circulation of your leg.
You may need to attend regular checkups to ensure cancer has not come back. However, you should be able to have these checkups with your local doctor back at home. In some cases, you may need sexual support therapists and specialists, as well as a counselor, to help you adjust with life after surgery.
Evaluating the effectiveness of Penectomy in Taiwan is crucial before reaching a final decision. High effectiveness signals proficiency in executing the procedure, the caliber of the healthcare facilities, and the overall medical expertise within the vicinity. Moreover, impressive effectiveness often implies a lowered probability of complications, a major cause of worry for numerous patients pondering the procedure. Penectomy is generally a safe and effective procedure, particularly when performed by an experienced and skilled surgeon.
Effectiveness rates can showcase considerable variation due to an array of factors. These factors encompass the intricacies of the individual case, the total health and lifestyle of the patient, and the skill of the healthcare professional. Patients who efficiently manage stress, routinely exercise, eat a balanced diet and adhere to medical counsel generally experience superior results.
The alternative to penectomy depends on the reason you have the surgery. If you undergo the procedure to treat penile cancer, the alternatives depend on the stage of your cancer. The following are some of the treatment options:
Further options include laser ablation or radiation therapy.
For transgender women, the alternative is orchiectomy, which is a procedure to remove one or more testicles.
Before penectomy, you may have cancerous cells in your penis. After the surgery, cancer may be completely removed. However, life after surgery may cause psychological problems. After partial penectomy, it may still be possible for you to have satisfying intercourse.
After total penectomy, full intercourse is impossible. However, with effort, you can still achieve pleasure. It is recommended to talk with a counselor to help with stress, depression, or questioning of your identity. You can also consider penis reconstruction if you want to. For transgender women, penectomy will bring you a step closer to a full transition.
However, having a penectomy carries risks and complications. These complications include:
If you experience uncontrolled pain, persistent bleeding from the wound, difficulty in passing urine, feeling as if you have a bad cold, high temperature, and shaking, as well as prolonged redness, swelling, or a foul-smelling discharge from the wound site, contact your healthcare team immediately.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Whilst still a part of the Republic of China, the small island of Taiwan maintains a wealth of ancient Chinese culture and traditions mixed with modern-day Western inspirations. With its food-loving locals and award-winning whiskeys, Taiwan is a land of surprises. With 14 JCI accredited facilities in Taiwan, Taipei, the capital, is home to most, many of which are part of the University Hospitals and offer a range of specialist tertiary care. The country welcomes an ever-increasing number of medical tourists each year, many of which travel for Penectomy procedures. Medical Tourists mostly travel from the mainland or from within the region.
Taiwan is one of the most densely populated countries in the world with 23.5 million inhabitants. The country has amazed tourists with its dynamic cities, vibrant culture, interesting history, and incredible natural scenery.
Taiwan Taoyuan International Airport is the main airport in the country, located about 40km west of Taipei in the Dayuan District, Taoyuan. It is the hub for 6 airlines including two of Taiwan’s major airlines, China Airlines, and EVA Air. It has international connections with almost every country in the world. The airport serves major airlines as well as budget airlines such as Air Asia, Eastar Jet, Air Busan, and Tiger air Taiwan. There are other airports that serve international and domestic flights such as Taichung Airport, Tainan Airport, Siaogang Airport, and Taipei Songshan Airport.
Tourists arriving at Taiwan Taoyuan International Airport have a variety of transport options such as buses, taxis, car rentals, and Taoyuan Airport MRT. Buses are the cheapest option to get to the city center. Tourists who head towards the Taipei 101 area should take Bus no. 1960, while bus no. 1819 and 1961 will take tourists near Taipei Main Train Station.
Taxis are available in Terminal 1 and Terminal 2’ arrivals lobby. The fare is based on a meter and will usually cost around 1,200 TWD (40.50 USD). A journey to the city center takes about 50 minutes and taxis operate for 24 hours.
Taoyuan Airport MRT is the fastest way to reach Taipei’s city center. It will take tourists to Taipei Main Station in 35 minutes and costs 160 TWD (5.40 USD). The MRT operates from 6.05 am to 11.35 pm.
Tourists can travel around Taiwan by normal train (TRA). It is an affordable option; a train ride from Taipei to Kaohsiung costs around 845 TWD. Tourists who need a quicker travel time can opt for Taiwan High-Speed Train (HSR). The train travels from Taipei to Kaohsiung in just 90 minutes.
The cheapest way to travel around Taiwan is by bus. Buses are readily available and will reach small villages and mountain resorts. The country provides Taiwan Tourist Shuttle bus system that offers 42 routes to more than 100 tourist destinations.
Taxis and MRT is the best way to travel around big cities. In Kaohsiung, getting around in a bicycle is the best way to explore as it is one of the most bicycle-friendly cities in Taiwan.
Citizens of 65 countries do not require a visa to visit Taiwan and can stay for up to 90 days. Nationals of Turkey can obtain a visa on arrival valid for 30 days. It is best to check to the nearest embassy or consulate for visa requirements. Since January 2016, Taiwan offers an eVisa program for 18 countries including Saudi Arabia, Peru, Oman, and United Arab Emirates.