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Successful penile replantation using loupe magnification

  • Urology – Case Report
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Abstract

Traumatic penile amputation is a rare condition requiring urgent surgical consultation with almost immediate surgical intervention. Although seen in both paediatric and adult populations, the majority are seen in the latter age group. These injuries are penetrating in nature, usually occur with the organ flaccid and most are self-inflicted by mentally unstable patients. Currently replantation involves meticulous microsurgery to reduce skin, urethra and graft loss, but these complications may still occur. Non-microsurgical techniques have been utilised with good post-operative outcomes. This report describes penile replantation in a 24-year old mentally challenged patient using 4.5× loupe-magnification to restore a functional, fully erectile penis without tissue loss and a 20-year problem free follow-up.

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References

  1. Ehrich WS (1929) Two unusual penile injuries. J Urol 21:239

    Google Scholar 

  2. Cohen BE, May JW, Daly JSF, Young HH (1977) Successful clinical replantation of an amputated penis by microneurovascular repair. Plast Reconstr Surg 59:276

    Article  PubMed  CAS  Google Scholar 

  3. Tamai S, Nakamura Y, Motomiya Y (1977) Microsurgical replantation of a completely amputated penis and scrotum. Plast Reconstr Surg 60:287

    Article  PubMed  CAS  Google Scholar 

  4. Bhaganada K, Chayavatana T, Pongnumkul C et al (1983) Surgical management of an epidemic of penile amputations in Siam. Am J Surg 146:376–382

    Article  Google Scholar 

  5. Mineo M, Jolley T, Rodriguez G (2004) Leech therapy in penile replantation. Urology 63:981–983

    Article  PubMed  Google Scholar 

  6. Babaei AR, Safarinejad MR (2007) Penile replantation, science or myth? A systematic review. Urol J 4:62–65

    PubMed  Google Scholar 

  7. Darewicz B, Galeck L, Darewicz J, Kudleski J, Eugemiusz M (2001) Successful microsurgical replantation of an amputated penis. Int Urol Nephrol 33:385–386

    Article  PubMed  CAS  Google Scholar 

  8. Fuller A, Bolt J, Carney B (2007) Successful microsurgical penile replantation after workplace injury. Urol Int 78:10–12

    Article  PubMed  Google Scholar 

  9. Volkmer BG, Maier S (2002) Successful penile replantation following autoamputation: twice!. Int J Impot Res 14:197–198

    Article  PubMed  CAS  Google Scholar 

  10. Lowe M, Chapman W, Berger R (1991) Repair of a traumatically amputated penis with return of erectile function. Urol J 145:1267–1270

    CAS  Google Scholar 

  11. Jezoir JR, Brady JD, Schlossberg SM (2001) Management of penile amputation injuries. World J Surg 25:1602–1609

    Article  Google Scholar 

  12. Landström JT, Schuylerr RW, Macris GP (2004) Microsurgical penile replantation facilitated by postoperative HBO treatment. Microsurgery 24:49–55

    Article  PubMed  Google Scholar 

  13. Garaffa G, Raheem AA, Christopher NA, Ralph DJ (2009) Total phallic reconstruction after penile amputation for carcinoma. BJU Int 104:852–856

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Clinical Surgical Sciences, The University of the West Indies, St. Augustine Eric Williams Medical Sciences Complex, Mount Hope, Trinidad, West Indies

    Vijay Naraynsingh, Patrick Harnarayan & Seetharaman Hariharan

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  1. Vijay Naraynsingh
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  2. Patrick Harnarayan
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  3. Seetharaman Hariharan
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Correspondence to Seetharaman Hariharan.

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Naraynsingh, V., Harnarayan, P. & Hariharan, S. Successful penile replantation using loupe magnification. Int Urol Nephrol 43, 437–439 (2011). https://doi.org/10.1007/s11255-010-9761-4

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  • DOI: https://doi.org/10.1007/s11255-010-9761-4

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