Microneurovascular reimplantation in a case of total penile amputation

ABSTRACT

Amputation of the penis is a rare condition reported from various parts of the world as isolated cases or small series of patients; the common aetiology is self-mutilating sharp amputation or an avulsion or crush injury in an industrial accident. A complete reconstruction of all penile structures should be attempted in one stage which provides the best chance for full rehabilitation of the patient. We report here a single case of total amputation of the penis, which was successfully reattached by using a microsurgical technique. After surgery, near-normal appearance and function including a good urine flow and absence of urethral stricture, capabilities of erection and near normal sensitivity were observed.

KEY WORDS

Microneurovascular surgery - penile-replantation - total amputation

• 1 Jordan GH, Gilbert DA. Management of amputation injuries of the male external genitalia. Urol Clin North Am 1989; 16: 359-67
• 2 Bhangananda K, Chaiyavatana T, Pongnumkul C. Surgical management of an epidemic of penile amputations in Siam. Am J Surg 1983; 146: 376-82
• 3 Kochakarn W, Muangman V, Krauwit A. Traumatic penile amputation: Results with primary reattachment. J Urol 1997; 157: 857
• 4 Babaei AR, Safarinejad RM. Penile replantation-Science or myth? A systematic review. J. Urol 2007; 4: 62-5
• 5 Volker BG, Maier S. Successful penile replantation following auto amputation twice. Int J Impot Res 2002; 14: 197-8
• 6 Kochakarn W.. Traumatic amputation of penis. Braz J Urol 2000; 26: 385-9
• 7 Schweitzer I.. Genital self amputation and the klingsor syndrome. Aust Nz J Psychiatry 1990; 24: 566-9
• 8 Cohen BE, May JW, Dalsy JS, Young HH. Successful clinical replantation of an acute amputated penis by microvascular repair. Plast Reconstr Surg 1997; 59: 276-80
• 9 Darewicz B, Galek L, Darewicz D, Malezyk E. Successful microsurgical replantation of an amputated penis. Int Urol Nephrol 2001; 33: 385-6