Alterations in sexual function, such as erectile dysfunction or genital injuries, can have devastating psychological effects, contributing to increased rates of depression, anxiety, and even suicide, especially in heterosexual men. Although penile cancer is a rare disease, its impact on the genitals can lead to loss of sexual function, affecting men's sexual and reproductive health. In some cases, men who suffer from this condition may come to be perceived in a derogatory manner, as “emasculated”, which aggravates the loss of identity and self-esteem.
New masculinities emerge as an approach that seeks to redefine traditional gender roles, questioning rigid expectations of how a man should behave. This concept promotes greater flexibility and acceptance of a wide range of emotions, behaviors, and characteristics that were previously considered “unmasculine”. Instead of following the traditional “strong man” or “macho” model, the new masculinities defend the idea that men can be vulnerable, express their emotions, be empathetic, share domestic responsibilities, and take care of their emotional health, without renouncing their masculine identity.
This approach has particular relevance for penile cancer patients undergoing penectomy. Integrating the perspective of new masculinities, it can contribute to the psychological adjustment of patients, helping them to rebuild their identity and overcome the emotional impact of functional loss. The incorporation of social and modern concepts in the treatment of this condition not only improves the quality of life of patients who survive the disease but also fosters a more inclusive and just society, in which diverse ways of being a man are valued, allowing acceptance and emotional well-being for those facing this type of intervention.
Written by: Natalia Barbosa Daza,1 Daniel Andrés Nieva-Posso,1 Herney Andrés García-Perdomo1,2
- UROGIV, Group Research, School of Medicine. Universidad del Valle, Cali, Colombia.
- Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia.