Partial necrosis of an amputated penis following replantation in a heavy smoker: A case report

A case of penile amputation in a heavy smoker who was treated by microsurgical replantation is presented. The penis was cut by a kitchen knife and the ischaemia time until revascularisation was 3 hours. Following successful microneurovascular repair the penis survived. However, a 3 cm portion of the...

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Bibliographic Details
Published in:Microsurgery 1998, Vol.18 (3), p.189-191
Main Authors: Kayikcioglu, Aycan, Özcan, Gürhan
Format: Article
Language:English
Subjects:
Adult
Amputation, Traumatic - surgery
Biological and medical sciences
Humans
Male
Medical sciences
Necrosis
Penis - injuries
Penis - pathology
Penis - surgery
Postoperative Period
Replantation
Smoking - adverse effects
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Treatment Failure
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Summary:A case of penile amputation in a heavy smoker who was treated by microsurgical replantation is presented. The penis was cut by a kitchen knife and the ischaemia time until revascularisation was 3 hours. Following successful microneurovascular repair the penis survived. However, a 3 cm portion of the ventral segment, including the corresponding urethral segment, sloughed. The adverse effects of nicotine on vascular anastomotic network in heavy smokers are well known and may be the cause of the partial necrosis in this case. © 1998 Wiley‐Liss, Inc. MICROSURGERY 18:189–191 1998
ISSN:0738-1085
1098-2752
DOI:10.1002/(SICI)1098-2752(1998)18:3<189::AID-MICR12>3.0.CO;2-U