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Related Experiment Videos

Penile replantation after self-inflicted amputation.

J R Sanger1, H S Matloub, N J Yousif

  • 1Department of Plastic and Reconstruction Surgery, Medical College of Wisconsin, Milwaukee.

Annals of Plastic Surgery
|December 1, 1992
PubMed
Summary

Microsurgical penile replantation successfully restored sensation and erections in four men after self-amputation. This technique is superior for penile reattachment, despite associated psychiatric challenges.

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Area of Science:

  • Urology
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Self-inflicted penile amputation presents a unique surgical challenge.
  • Evaluating the efficacy of microsurgical techniques for penile replantation is crucial.

Observation:

  • Four men underwent successful penile replantation using microsurgery.
  • Postoperative complications were minimal, with good functional and sensory recovery.
  • One patient required a skin graft and experienced a mild urethral stricture, successfully treated with dilation.

Findings:

  • Microsurgical replantation achieved excellent return of sensation and normal erectile function in all patients.
  • The technique proved superior to other penile reattachment methods, avoiding complications like necrosis, fistula, and strictures.

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  • A significant concern is the high incidence of recurrent self-mutilation and severe psychiatric pathology in this patient group.

    • Implications:

    • Microsurgical penile replantation is the gold standard treatment for self-inflicted penile amputation.
    • Long-term follow-up highlights the persistent psychiatric issues requiring comprehensive management.
    • Further research into the psychological aspects and management of self-mutilation in these cases is warranted.