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Related Experiment Videos

Reconstruction after total penile amputation and emasculation.

Matthew B K Shaw1, A Michael Sadove, Richard C Rink

  • 1Department of Pediatric Urology, James Whitcomb Riley Hospital for Children, Indianapolis, Indiana 46202, USA.

Annals of Plastic Surgery
|June 13, 2003
PubMed
Summary

Pediatric penile and testicular amputation is rare. Surgical reconstruction using tissue expansion and skin grafts created an erectile, esthetic phallus, offering an alternative to other complex procedures.

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Reply by Authors.

The Journal of urology·2026

Area of Science:

  • Pediatric Urology
  • Reconstructive Surgery

Background:

  • Penile and testicular amputation is a rare but devastating injury in children.
  • Late presentation for surgical reconstruction poses unique challenges.

Observation:

  • A case of traumatic penile and testicular amputation in a pediatric patient presenting late for reconstruction is described.
  • Surgical techniques included advancement of erectile tissue, glans reconstruction with a full-thickness skin graft, shaft reconstruction with a split-thickness skin graft, and scrotal creation using a tissue expander for testicular prostheses.

Findings:

  • The described reconstructive techniques successfully created an erectile and aesthetically acceptable phallus.
  • The use of a tissue expander facilitated the creation of a functional scrotum capable of holding prostheses.

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Implications:

  • This surgical approach offers a viable alternative for phallic reconstruction in cases with residual erectile tissue.
  • It provides an option that avoids more complex musculocutaneous flap transfers or gender reassignment surgery.