Penile replantation, complication management, and technique refinement

We describe a case of complete guillotine‐type penile amputation at the proximal penile shaft. The blood flow was established 10 h after trauma. Circulation in the replanted penis was quite good but there was progressive prepuce necrosis after the hematoma. Cosmetic and urinary outcome was good 6 we...

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Bibliographic Details
Published in:Microsurgery 2008, Vol.28 (3), p.153-156
Main Authors: Chou, Erh-Kang, Tai, Yu-Tzu, Wu, Chao-I, Lin, Meng-Shi, Chen, Hsin-Han, Chang, Sophia Chia-Ning
Format: Article
Language:English
Subjects:
Adult
Amputation, Traumatic - surgery
Humans
Hyperbaric Oxygenation
Male
Necrosis
Penis - injuries
Penis - pathology
Penis - surgery
Postoperative Complications - prevention & control
Replantation - adverse effects
Replantation - methods
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Summary:We describe a case of complete guillotine‐type penile amputation at the proximal penile shaft. The blood flow was established 10 h after trauma. Circulation in the replanted penis was quite good but there was progressive prepuce necrosis after the hematoma. Cosmetic and urinary outcome was good 6 weeks later. The repair of deep dorsal penile vessels helps in corpus tissue healing and glans circulation. The blood supply from the corpus tissue is sufficient for the survival of the replanted penis even when the repaired dorsal vessels were occluded. Surgical pitfalls in replantation procedures and complication management are discussed. © 2008 Wiley‐Liss, Inc. Microsurgery, 2008.
ISSN:0738-1085
1098-2752
DOI:10.1002/micr.20470