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Delayed penile replantation after prolonged warm ischemia
A Mosahebi1, M Butterworth, R Knight
1Department of Plastic and Reconstructive Surgery, Royal Free and University College Medical School, London, UK.
Microsurgery
|April 5, 2001
Summary
Microsurgical penile replantation was successful following traumatic self-amputation, even after prolonged warm ischemia due to delayed presentation. The patient achieved good urinary flow and spontaneous erections 12 weeks post-surgery.
Area of Science:
- Urology
- Microsurgery
- Reconstructive Surgery
Background:
- Traumatic penile self-amputation is a rare but devastating injury.
- Delayed presentation and prolonged warm ischemia pose significant challenges to successful penile replantation.
Observation:
- A case of traumatic penile self-amputation with delayed presentation was managed.
- The injury involved prolonged warm ischemia time.
Findings:
- Microsurgical replantation was performed successfully.
- At 12 weeks postoperatively, the patient demonstrated good urinary flow.
- The patient also exhibited spontaneous erections and a normal response to pharmacological stimulation.
Implications:
- This case highlights the potential for successful penile replantation even in complex scenarios with prolonged ischemia.
- Microsurgical techniques can restore both urinary and sexual function after severe penile trauma.
- Successful outcomes underscore the importance of timely surgical intervention in penile reconstructive surgery.