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Case Reports
. 2023 Jan 3:46:102319.
doi: 10.1016/j.eucr.2023.102319. eCollection 2023 Jan.

Successful replantation of self-amputated penis using microvascular repair resulting in restoration of voiding and erectile function

Kyle S Garcia  1 , Giles W Becker  2 , Matthew B Gretzer  1
Affiliations
Case Reports

Successful replantation of self-amputated penis using microvascular repair resulting in restoration of voiding and erectile function

Kyle S Garcia et al. Urol Case Rep. .

Abstract

Intentional self-amputation of the penis is rarely encountered and usually occurs in the context of an underlying psychiatric illness. We report the case of a 42-year-old male who intentionally amputated his penis, both testicles, and a large portion of the scrotum en bloc using garden shears. Microscopic and macroscopic replantation of the penis was undertaken, resulting in restoration of normal urinary function and moderate erectile function.

Keywords: Penile amputation; Reconstructive urology; Trauma.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
The urethra is repaired over a Foley catheter, with the proximal and distal cut ends of the corporal bodies clearly visible (color). (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
Fig. 2
Fig. 2
Microsurgical anastomosis of dorsal neurovascular structures (color). (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
Fig. 3
Fig. 3
Final outcome after replantation of penis and scrotoplasty (color). (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
See this image and copyright information in PMC

References

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