Phantom Erection after Amputation of the Penis
Over at the wonderful ScienceBlogs.com, there was a brief mention of an article published in the Canadian Journal of Neurological Sciences in February 1999: “Phantom Erection after Amputation of Penis. Case Description and Review of the Relevant Literature on Phantoms.” The author reviews the literature on phantom phenomena, making particular mention of phantom breasts experienced by women who undergo mastectomies. Then comes the case report (the full text of which is available online):
A successful businessman, aged 44 years, developed a painful sore about 8 mm in diameter on the glans penis. Biopsy revealed carcinoma and he underwent penile amputation along with radical dissection of the inguinal lymph nodes bilaterally… The amputation was total, that is there was no stump projecting anterior to the pubis. The patient voided via a perineal urethrostomy. The testiticles were retained and bladder control was preserved.
At the age of 64 years, 20 years later, while under care for cerebral transient ischemic attacks the patient casually mentioned that since the operation and despite the absence of his male organ, phantom erections regularly occurred especially with erotic stimulation, for example, “seeing a pretty young woman.” The phantom seemed to be of normal size, configuration and alignment, and was accompanied by a normal sexual feeling. So real was the experience that even after 20 years, the subject was still periodically obliged to check on the situation, tactually and visually. Particularly surprising to him was the exact reproduction on each occasion of the original painful sore, at the same site on the glans, accompanied by the same type and severity of pain as before the operation. The pain was apparently not severe. Restrictive undergarments were not an impediment. The patient was unaware of a phantom in the non-erect state.
The patient died from prostatic carcinoma seven years later, aged 71 years.
If you think the sight of a man with balls but no penis is disturbing, imagine what it must have been like to experience phantom erections — for twenty god-damn years. That goes way beyond the proverbial “itch you can’t scratch.” The feelings were so realistic that the man sometimes felt the need to inspect himself, and yet there was apparently little he could do except play air guitar.
The author of the case study notes that the patient “was not asked about the occurence of ejaculation.” The fact that the man had to urinate via a perineal urethrostomy — a procedure whose top Google results, alarmingly enough, all point to veterinary surgery — leaves you wondering how he could have conceivably ejaculated. Perhaps he may have been able to massage his prostate enough to cause an ejaculation. But where would the seminal fluid have erupted from his body? In an animal, a perineal urethrostomy involves removing the penis and creating a new urinary opening — a “more female-like” orifice. Could the guy have fingered his ass and leaked cum from an artificial vagina near his balls? Sometimes truth really is stranger than fiction.
For someone like myself, who holds no medical qualifications, yet knows a lot about medicine, this case turns me on a great deal. In fact, with Neurology being my main area of interest, this case peaked my interest, in much the same way that young women peaked his non-existent cock.
I’m particularly fascinated by the discovery of carcinoma. Was his death of prostatic carcinoma at 71, a result of cancer spreading from his penis up into the body over a long period (decades). This has happened before.
Removal of the lymph glands in the groin is a normal procedure for cancer. Any cancer involving the lower abdominal area, can usually end up with lymph gland removal. Lymph is the fluid that the immune system uses around the body.
I found particularly funny the mention of “A successful businessman” at the start. Would they have mentioned his level of success if he was a failure….”a bankrupt ugly gay man, aged 44, has a tumour on his cock” – I don’t think so somehow.
Did the Neurologists carry out a full eye examination? Were his saccades and supranuclear gaze normal? Did he suffer from sound phosphenes?
Were there any reasons for his penile cancer? Genetics? Diet? Exposure to chemicals? (Who knows, maybe Viagra causes sexual cancers).
Someday in Africa, this story will be told to young boys “if you masturbate too much, your cock will suffer cancer and be amputated! Fear God!)
Cerebral transient ischemic attacks are also fascinating. TIA is like a mini-stroke.
I’d also like to know how this mans sex life worked out after removal. Did he turn gay and get his ass fucked? Did he sexually assault women by grabbing their breasts in public, then run away? Did he turn to porn? Was he alive when Pervscan started up?
I’d like to know why they left the testicles. Testosterone is one of the main hormones that govern sexual desire, and it’s produced in the testis.
Without the penis, the man would be unable to satisfy sexual needs in the normal manner. At the same time, he’d have a normal libido. So I’m imagining him suffering and in agony because he’d have the regular sexual responses of a normal man, but have no outlet.
Would it have been better for him if he was castrated and had his sex drive reduced? Or has he adapted some how (cum oozing orifice) like supervert suggested…
I believe, after reading these comments and thinking to myself, that they left his testicles so he at least has his basic manliness. They did not want to deprive him of testosterone. They just assumed that he will get himself a fake penis on a separate occasion, only being responsible for amputation and not reconstruction.
Indeed, fascinating. The “phantom” thing seems to be experienced by many people with other parts that are either not working or absent.
ie. stroke victims, while not being able to move the affected limbs, experience so much pain that they are usually under aggressive pain management plans, which might include several narcotics throughout the day.
A’also, people who’ve lost legs or arms often relate feeling itching in those limbs.
I just can’t believe nobody thought to ask this gentleman about ejaculation. The answer would have been fascinating.
Angela can I put it inside your mouth?
Yes, as we including myself, have wondered before, how does he ejaculate? How does he release his male goo? Probably the base of the penis, or the stump still has feeling so he can massage it until the usual feelings of sexual excitement leading to orgasm accur.
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