What effects does it have?

What is it?

Surgery to permanently remove the penis.

How long does it last?

The effects are permanent and cannot be reversed.

More information

Penectomy is surgical removal of the penis. This does not include removal of the testes (testicles), which are removed by an orchidectomy.

A penectomy completely destroys the penis. After a penectomy has been carried out, vaginoplasty requires using non-standard techniques as there is no penile skin available, increasing risks and reducing the quality of the result.

If you wish to have new genitals created, the vulva (external part of the female genitalia) is created by labiaplasty and clitoroplasty. These operations are often carried out together with vaginoplasty (creation of the internal canal).

Cost and funding

A operation in the UK to perform penectomy along with orchidectomy, labiaplasty and clitoroplasty costs around £11-12000.

If you have a formal diagnosis, the NHS will usually provide funding for penectomy and labiaplasty, orchidectomy, clitoroplasty and optionally vaginoplasty. You will normally need to meet the following conditions:

  • persistent and well-documented gender dysphoria
  • capacity to make fully informed decisions and to consent to treatment
  • if significant medical or mental health concerns are present, they must be reasonably well controlled
  • two medical opinions, usually at least one from a gender clinic, that surgery is appropriate
  • 12 months’ continuous endocrine treatment as appropriate to the patient’s goals (unless the patient has medical contraindications or is otherwise unable to take hormones)
  • at least 12 months’ living continuously in a gender role that is congruent with the gender identity 1.

References

  1. 1 Royal College of Psychiatrists (2013) “Good practice guidelines for the assessment and treatment of adults with gender dysphoria.” [online] Available from: www.rcpsych.ac.uk/usefulresources/publications/collegereports/cr/cr181.aspx

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Page last updated: September 2017