Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Mar;56(1):51-54.
doi: 10.4314/gmj.v56i1.9.

The challenges and complications of re-implantation of the penis following amputation

Moumita De  1 , Rakesh Dawar  1
Affiliations
Case Reports

The challenges and complications of re-implantation of the penis following amputation

Moumita De et al. Ghana Med J. 2022 Mar.

Abstract

Amputation of the penis is a rare and devastating injury. The etiologies vary from accidental, self-inflicted to attacks due to sexual jealousy and revenge. In the present era of microvascular surgery, replantation is the standard care. However, replantation of the penis comes with its own set of difficulties and complications. Knowledge of the anatomy and prior knowledge of the possible complications makes the surgeon aware of the course of events after a replantation. It helps in devising strategies to overcome these challenges methodically. We present a case of penile replant with the complications that we encountered, and the measures are taken to counter them on our way to a successful outcome.

Funding: No external funding.

Keywords: Microsurgery; Penile amputation; Replantation.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: None declared

Figures

Figure 1
Figure 1
A 12Fr silicone catheter was passed across the urethra of the amputated part and into the urethra of the stump
Figure 2
Figure 2
The glans and shaft of the penis with prepuce changed to normal colour, turgor, and capillary refill
Figure 3
Figure 3
Debridement of all necrotic skin was done
Figure 4a
Figure 4a
Debridement with a thin split-thickness graft was done for the raw areas. All wounds healed uneventfully.
Figure 4b
Figure 4b
The catheter was removed at 6weeks. Follow-up at 10 weeks shows the patient has a good shaft length with stable skin coverage
See this image and copyright information in PMC

References

    1. Landstrom JT, Schuyler RW, Macris GP. Microsurgical penile replantation facilitated by post-operative HBO treatment. Microsurgery. 2004;24:49–55. - PubMed
    1. Biswas G. Technical considerations and outcomes in penile replantation. Semin Plast Surg. 2013 Nov;27(4):205–210. doi: 10.1055/s-0033-1360588. - DOI - PMC - PubMed
    1. Tamai S, Nakamura Y, Motomiya Y. Microsurgical replantation of a completely amputated penis and scrotum: Case report. Plast Reconstr Surg. 1977;60:287–291. - PubMed
    1. Morrison SD, Shakir A, Vyas KS, et al. Penile replantation: a retrospective analysis of outcomes and complications. J Reconstr Microsurg. 2017;33:227–232. - PubMed
    1. Patial T, Sharma G, Raina P. Traumatic penile amputation: a case report. BMC Urol. 2017 Oct 10;17(1):93. - PMC - PubMed

Publication types

LinkOut - more resources