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Microsurgical replantation of sexual organs in three patients
L Gałek1, B Darewicz, J Kudelski
1Department of Urology, Medical Academy of Białystok, Poland.
Objective:
The present study deals with microsurgical replantation technique.
Material And Methods:
The technique was applied in 3 patients whose sexual organs had been accidentally cut off.
Results:
Necrosis of the sutured organs occurred in 2 cases. In 1 case, however, healing with proper miction and sexual function was achieved. Prolonged period (over 12 hours) from the accident to operation as well as the extensive injury of tissues with the vascular system crush were considered to be the main reason for failure.
Conclusions:
Microsurgical reconstruction of penis and testes with the use of vessel grafts prolonged the hypoxia which led to necrosis. Disturbances in vein blood outflow from the sutured organs contributed to this process as well. The third case resulted in success mostly due to quick intervention (5 h from injury) as well as to proper microsurgical reconstruction of vessels, nerves, and urethra. In addition suprapubic urine diversion was successfully applied and the urethra healed on the perforated catheter. Routine antibiotics as well as antithrombotic prophylactics were administered in all of the 3 cases.