Nurse Penectomy
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Nurse Penectomy
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This is an operation to remove the whole of the penis. The urethra will be surgically reshaped to form a special urinary drainage passage called a perineal urethrostomy. This will mean that men will need to sit down on a toilet to pass urine. The sensation or need to pass urine will not be affected and men will have control of urination.
It’s very important that men discuss this surgery with their specialist health care team to ensure that they know exactly what to expect after the operation. If men feel that they may need counselling before or after the operation they should ask their specialist team to arrange this for them. The operation is likely to take several hours to complete.
Men should contact their healthcare team if they experience any of the following:
To read personal stories of men who have been affected and treated for penile cancer please click here
Reviewed March 2021. Next review 2022.
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Home » Nursing Care Plans » 4 Appendectomy Nursing Care Plans
Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
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Appendectomy is the surgical removal of the appendix. An inflamed appendix may be removed using a laparoscopic approach with laser. However, the presence of multiple adhesions, retroperitoneal positioning of the appendix, or the likelihood of rupture necessitates an open (traditional) procedure.
Studies indicate that laparoscopic appendectomy results in significantly less postoperative pain, earlier resumption of solid foods, a shorter hospital stay, lower wound infection rate, and a faster return to normal activities than open appendectomy.
Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information.
Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy:
Recommended nursing diagnosis and nursing care plan books and resources.
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Other recommended site resources for this nursing care plan:
More nursing care plans related to gastrointestinal disorders:
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Bless you and thank you for visiting Nurseslabs! :) Check out our other nursing care plans , too!
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are the diagnosis for post operative care or its combined pre and post op. for example interventions of acute pain i read somewhere talking for not to apply hot compress for fear of rupture?
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Assess pain, noting location, characteristics, severity (0–10 scale). Investigate and report changes in pain as appropriate.
Useful in monitoring effectiveness of medication, progression of healing. Changes in characteristics of pain may indicate developing abscess or peritonitis , requiring prompt medical evaluation and intervention.
Provide accurate, honest information to patient and SO.
Being informed about progress of situation provides emotional support, helping to decrease anxiety
Keep at rest in semi-Fowler’s position.
To lessen the pain. Gravity localizes inflammatory exudate into lower abdomen or pelvis, relieving abdominal tension, which is accentuated by supine position.
Promotes normalization of organ function (stimulates peristalsis and passing of flatus, reducing abdominal discomfort).
Refocuses attention, promotes relaxation, and may enhance coping abilities.
Keep NPO and maintain NG suction initially.
Decreases discomfort of early intestinal peristalsis, gastric irritation and vomiting .
Administer analgesics as indicated.
Relief of pain facilitates cooperation with other therapeutic interventions (ambulation, pulmonary toilet).
Place ice bag on abdomen periodically during initial 24–48 hr, as appropriate.
Soothes and relieves pain through desensitization of nerve endings. Note: Do not use heat, because it may cause tissue congestion.
Never apply heat to the right lower abdomen.
This may cause the appendix to rupture.
Watch closely for possible surgical complications.
Continuing pain and fever may signal an abscess.
Genital Nullification or Eunuch procedures involve the removal of testes or all external genitalia to create a smooth transition from the abdomen to the groin.
The removal of the penis is desired by some males. Occasionally ‘ Eunuchs’ desire penis removal later, after having been so for several years. The removal of the penis involves and requires significantly greater skill than the removal of the testes.
Advanced techniques of nullification include severing the ‘suspensory ligaments’ to drop the penis before amputating it, to produce a urinary outlet lower down for convenience. A new urinary opening may be made between the root of the penis and the anus, but this involves advanced incision and suturing skills.
Such an opening reduces the need to remove more of the penis itself to lower the urinary opening for convenience. Where do you pee from? During the surgery, a catheter is placed in the urethra, where it remains during post-op and healing for about five days. A tiny (or large, depending on the exact style of the operation) pee hole remains.
Genital surgical procedures for Trans women undergoing sex reassignment surgery do not usually involve the complete removal of the penis. Instead, part or all of the glans is usually kept and reshaped as a clitoris, while the skin of the penile shaft may also be inverted to form the vagina (some more recently developed procedures, such as that used through Dr Suporn Cinic who use the scrotum to form the vaginal walls, and the skin of the penile shaft to form the labia majora). When procedures such as this are not possible, other procedures such as colovagnoplasty are used which may involve the removal of the penis. Some trans women have undergone penectomies, however, this is much rarer.
Issues related to the removal of the penis appear in psychology, for example in the condition known as castration anxiety, which happens as a result of a man having anxiety as to whether he may at some point become castrated.
Some men have undergone penectomies as a voluntary body modification, but professional opinion is divided as to whether or not the desire for penile amputation is a pathology, thus including it as part of a ‘body dysmorphic disorder. Usually fantasy, as in castration, but at other times gender confusion or hatred, or even psychosis can result in penectomy.
Males who consider themselves third sex will sometimes want an emasculation, i.e., they opt to have their penis and/or testicles removed.
Male members in the sect of Skoptsy (Russian: скопцы, “castrated”) were required to become castrated, either only the testicles (“lesser seal”) or also the penis (“greater seal”).
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Home About cancer Penile cancer Living with penile cancer Changes to how your body looks after penile cancer surgery
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It can be very difficult to cope with changes to your body after surgery, especially to your penis. Immediately after surgery your genital area will be swollen. It can be a shock to see the changes even if your doctor told you beforehand what to expect.
How you look will depend on the surgery you had.
You will have a scar after a wide local excision. The shape of your penis might have changed slightly. This depends on how much tissue the surgeon removed.
Your penis will be smaller and the glans will no longer be there. It will look like a circumcised penis. You will still have an opening in the middle of your penis for passing urine.
You will have a scar where the surgeon removed your penis. You have an opening between your anus and your scrotum for passing urine. You will need to sit down on the toilet to pass urine.
There are several things that may help you cope with changes in the way your genital area may look after treatment. They may not take away all the emotional pain, but they can make things easier. They include:
This is probably one of the most important things you can do, even if you feel at the time that you are not ready to know how surgery may change your penis. But talking to your surgeon before your operation really will help you deal with things later on.
Ask your surgeon to tell you exactly what they are going to do and how you will look. You are likely to be very swollen and sore immediately after your surgery, but this is temporary and not how you will look forever. Do not be afraid to ask your surgeon questions. They will be sensitive to how worried you are about changes in your body and will want to reassure you.
This may not help everyone so do not feel you have to do this. But some people find it very helpful and reassuring to speak with someone else who has had the same treatment as them. Your specialist may be able to put you in touch with someone who has had a similar experience.
Close family and friends will want to help. Some people may choose not to share too much with these people because they do not want to upset them, or feel too shy about their surgery to talk openly. Often sharing your feelings can bring people together.
If you are having problems with your intimate and sexual relationships because you feel that you are no longer attractive, try letting your partner know how you are feeling. Explaining how you feel can help them understand, and help you.
People react very differently to cancer treatment. The penis and genital areas are private parts of your body and you may find it very difficult to talk about how you are feeling. It can sometimes affect your self confidence and you may need time to come to terms with the changes that treatment brings. It is natural to go through a time of adjusting to change.
Feelings may be mixed with relief that you've had treatment. Your initial feelings of fear, shock or anger should improve, particularly with the support from family or friends.
If these negative feelings don't go, you may be becoming depressed. Talk to your doctor or specialist nurse if you are worried about this. Counselling may help or your doctor might suggest a course of anti depressants. This isn't unusual after cancer treatment. It won't be forever and will help you over a difficult period.
You are also able to chat to other people affected by cancer in our online forum. Our team of moderators and nurses are also on hand to support you.
Orchid have a National Male Cancer Helpline (Monday, Wednesday and Friday 9.30 am - 5.30 pm) staffed by an Orchid Male Cancer Information Nurse. You can call them on 0808 802 0010.
We have information about other organisations that offer help and support.
European Association of Urology (EAU), 2018
Identifying the needs of penile cancer sufferers: a systematic review of the quality of life, psychosexual and psychosocial literature in penile cancer
BMC Urology, 2009. Volume 9, Issue 8
Cancer Nursing, 2017. Volume 40 Number 2
We know it’s a worrying time for people with cancer, we have information to help.
Getting practical and emotional support can help you cope with a diagnosis of cancer, life during treatment and life after cancer.
Find out how penile cancer may affect your sex life and relationships.
Coping with cancer can be difficult. Help and support are available. There are things you can do, people to help and ways to cope with a diagnosis of penile cancer.
Treatments for penile cancer, what to expect and how to cope with side effects.
Find out about survival for different stages of penile cancer.
Penile cancer is cancer of the penis. It can develop anywhere on the penis but is most common under the foreskin in men who haven’t been circumcised or on the head of the penis (the glans).
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