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Semin Plast Surg 2013; 27(04): 205-210
DOI: 10.1055/s-0033-1360588
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Technical Considerations and Outcomes in Penile Replantation

Gautam Biswas
1   Department of Plastic and Reconstructive Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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Publication Date:
27 November 2013 (online)

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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.

Keywords

penile replantation - genital - self-mutilation