From Trauma to Reconstruction: Insights from Penile Amputation Case Series.
Keywords:
Penile amputation; microvascular anastomosis, penile reconstruction, pediatric trauma, urologyAbstract
Background: Traumatic penile amputation is a rare but severe urological emergency caused by self-mutilation, accidents, circumcision, or assault. Recent advancements in microvascular techniques have improved the success rate of penile reimplantation, reducing the need for penectomy and minimizing postoperative complications. This study presents a case series on penile amputation management and reviews the latest literature to explore optimal treatment strategies.
Case Presentation: This series includes two cases of pediatric penile trauma. Case 1 involved an 8-year-old with penile strangulation by hair, leading to necrosis and a urethrocutaneous fistula. The patient underwent debridement and reconstruction, with a favorable postoperative outcome. Case 2 described a 10-year-old with AAST Grade V penile amputation during cautery circumcision. The injury was managed through reimplantation and anastomotic urethroplasty, resulting in functional recovery.
Conclusion: Penile amputation significantly impacts both physical and psychological health. This series highlights the importance of microvascular anastomosis as the preferred replantation method for preserving erectile and voiding function. Advanced reconstructive techniques and interdisciplinary care, including mental health support, are essential for improving outcomes in complex cases..
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References
[1] Oyibo EU. Management of partial penile amputation injury: case report and review of literature. Orient J Med. 2020;32:113–8.
[2] Fazi J, Adkins D, Knight J, Luchey A. Unusual mechanisms of penile amputation. Case Rep Urol. 2019;2019:1–4.
[3] Djordjevic ML, Bizic M, Stojanovic B, Joksic I, Bumbasirevic UV, Ducic S, et al. Outcomes and special techniques for treatment of penile amputation injury. Injury. 2019;50:S131–6.
[4] Garg S, Date SV, Gupta A, Baliarsing AS. Successful microsurgical replantation of an amputated penis. Indian J Plast Surg. 2016;49(1):99–105.
[5] Liu X, Liu Z, Pokhrel G, Li R, Song W, Yuan X, et al. Two cases of successful microsurgical penile replantation with ischemia time exceeding 10 hours and literature review. Transl Androl Urol. 2019;8(Suppl 1):S78–84.
[6] Umar AM, Muhammad AS, Khalid A, Michael A, Obadele OG. Traumatic penile amputation managed at Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria: a case series. Discov Med. 2024;1(1):41.
[7] Ravichandran S, Smith PM, Tang V. Genital self-amputation—its psychological urge. J Surg Case Rep. 2022;2022(12):rjac569.
[8] Kipkemoi RD, Abila AW, Nditika ME, Lumadede ME. Self-penile amputation: a case of Klingsor Syndrome. Urol Case Rep. 2021;38:101667.
[9] Boumas N, Mougougou A, Ndang Ngou-Milama S, Angue Nguema M, Massandé J. Traumatic penile partial amputation of unusual occurrence: a case report. Urol Case Rep. 2022;42:102010.
[10] Biswas G. Technical considerations and outcomes in penile replantation. Semin Plast Surg. 2013;27(4):205–10.
[11] Kachare MD, Elfanagely O, Safeek RH, Barrow B, Simpson AM, O’Toole A, et al. Complete penile amputation: an anatomical reference and surgical pearls to ensure a successful replantation. Eplasty. 2022;22:ic12.
[12] Wihono F, Sigumonrong Y. Surgical management (microsurgery) of traumatic penile amputation: a case report. Open Access Maced J Med Sci. 2019;7(8):1350–2.
[13] Dergamoun H, Lakssir J, Gdaouni AEL, Jalal O, Saouli A, Ziouziou I. A microsurgical approach to post-traumatic penile amputation: towards standardizing the technique – a case report. Int J Surg Case Rep. 2024;116:109384.
[14] Fu S, Zheng D, Xie M, Yao H, Wang Z. Successful penile replantation and the role of postreplantation sildenafil therapy: report of 2 cases and literature review. Sex Med. 2019;7(3):352–6.
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