Technical considerations and outcomes in penile replantation.

Abstract:

:Penile amputations are uncommon injuries, therefore, the management and outcome of these patients have been compiled from solitary case studies or short reviews. Accidental trauma during circumcision, injury inflicted by a partner following marital discord, and genital self-mutilation observed in patients with deep psychosis, account for a majority of the presentations. Initially, patients with total penile amputations were managed by resuturing the penile structures without repairing the vessels. A high incidence of skin and glans necrosis, urethral strictures, and a failure of sensory recovery were observed, though the penile shaft sometimes survived. Presently, microsurgical replantation has markedly improved the results, though issues of skin loss and urethral stricture still persist. A series of three patients with penile amputation is presented (complete = 2, partial = 1); the technical considerations and outcomes are discussed.

journal_name

Semin Plast Surg

authors

Biswas G

doi

10.1055/s-0033-1360588

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

205-10

issue

4

eissn

1535-2188

issn

1536-0067

pii

00999

journal_volume

27

pub_type

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