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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 Tunisia, 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 Tunisia 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 Tunisia 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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Tunisia is one of the few countries which can cater to everyone and it manages to combine climate, golden beaches, history, and shopping for an “all-around” experience. It has a high standard of healthcare and an excellent reputation for cosmetic surgery. Cosmetic and plastic surgeons are regulated by the Tunisian Ministry of Health and the private clinics have state-of-the-art equipment and English-speaking staff. Tunisia welcomes an ever-increasing number of medical tourists each year, many of whom travel for Penectomy procedures. Medical Tourists travel from all across the globe, particularly from Europe and neighboring African countries with an inferior healthcare system. Popular medical tourism destinations outside of the capital, Tunis, include Sousse and Mahdia
The North of Tunisia has a subtropical Mediterranean climate with mild rainy winters and hot summers. The South and inland areas have a tropical desert climate.
The weather is relatively comfortable throughout the year. Summer starts in June and lasts until August. The average temperature is between 28 °C to 32 °C with July and August being the hottest months. The heat is not as bad on the coast because of the seaside breeze. Be aware that July to September is the jellyfish season.
The heat decreases in autumn and the weather is somewhat more comfortable. There are occasional rain showers in September. The temperature in October can be like summer during day time, but cold at night. October has more rain than September. The season lasts for three months from September to November with an average temperature of around 19 °C to 29 °C.
The weather in winter can be uncertain. The average temperature is between 16 °C and 18 °C, but it can drop to 7 °C at night and below 0 °C in highlands and deserts and a clear sky is rare during this season.
Spring comes in March and the temperature can rise to 20 °C. Mornings and nights are cold; there is still a high probability of rains and thunderstorms at the end of this season.
Tunisia has several international airports. The main airport is Tunic-Carthage International Airport. It has international connections with major European countries and the Middle East. The airport is the hub for Tunisair, Tunisair Express, and Nouvelair. Other airports that have international flights are Enfidha-Hammamet, Monastir Habib Bourguiba, Djerba-Zarzis, and Tabarka-Aïn Draham.
Taxis and buses are available to get to the city center from Tunis Airport. The SNT bus line departs every 30 minutes from the airport, the ticket costs less than 1 TND. There is also the TUT bus which departs every 15 minutes and is more luxurious and expensive.
Airport taxis are available at the airport taxi stand and are usually metered. Always make sure that the driver turns the meter on before riding the taxis. A journey to the city should cost around 5 TND. An extra cost will be added if you have baggage.
Getting around in Tunisia can be done by several transportation modes. Tunisair Express provides domestic flights between Tunis, Tozeur, Djerba, and Gabes. The Train is also available and the national train company in the country is SNCFT that runs modern and comfortable trains from Tunis to Sousse, Sfax, and Monastir. There are three classes of service that tourists can choose. The fare from Tunis to Sousse is between 6 to 10 TND. The long-distance bus is an economical option to travel between big cities such as Tunis, Hammamet, and Nabeul. The buses usually depart every 30 minutes.
Citizens of 97 countries (including Australia, China Singapore, the United States, and Russia) can visit and stay in Tunisia for up to 90 days without a visa. Other nationalities are advised to check with their local Tunisia embassy. Tunisia provides an online visa application for nationalities that needs a visa to enter. The eVisa will simplify the process of obtaining travel authorization to enter the country.
Local Currency: the local currency is the Tunisian dinar (TND). 1 USD converts to 2.61 TND.
Money & Payments: ATMs can be found in most cities and in all tourist areas. Many ATMs have withdrawal limits of 400 TND. Credit cards (MasterCard and Visa) are accepted in major cities and tourist areas. They can be used for shops, car hire, or top-end accommodation. Always make sure to carry cash if you want to travel outside major cities. Tipping is not necessary but will be appreciated.
Local Language: Arabic is the official language of Tunisia. French is very common due to the country’s former status as a French protectorate. English is still very limited except in the tourist areas and expensive hotels.
Local Culture and Religion: Islam is the major religion with 98% of the population identified as Muslim. There is a small group of Christian and Jews. Since most of the population is Muslim, always remember that the dress code is important in Tunisia.
Public Holidays: Tunisia celebrates major Islam holidays. The country hosts several annual festivals throughout the year such as The International Festival of the Sahara, Yasmine Hammamet Festival, and the International Festival of Carthage.