Experiences with Micturition Following Treatment for Penile Cancer

The literature regarding the effects of penile surgery on voiding function is limited. Men who undergo a total penectomy will inevitably need to sit down to void. In addition those who undergo more "radical" partial penectomies will also need to sit down to void, and will need to attend to hygiene issues when urine dribbles down over the scrotum. What is perhaps less obvious, is that even those with a penile stump often have difficulty in finding "something to hold on to"4 while those who have undergone conservative penile surgery may have problems with spraying of the urinary stream. Some men use a funnel in order to minimize spraying of urine at the time of micturition but the extent of the urinary problems, the need for treatment, and the effect upon the psyche of the patient are poorly documented in the literature and need further research.

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