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Related Experiment Video

Updated: Jul 7, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision
07:28

Microscopic Replantation of Penile Glans Amputation Due to Circumcision

Published on: June 3, 2022

Penile replantation, complication management, and technique refinement.

Erh-Kang Chou1, Yu-Tzu Tai, Chao-I Wu

  • 1Plastic Surgery Department, China Medical University Hospital, Taichung City, Taiwan. erkang27@yahoo.com.tw

Microsurgery
|February 21, 2008
PubMed
Summary

This case study details a successful penile replantation after complete amputation. Despite initial challenges like foreskin necrosis, good cosmetic and urinary outcomes were achieved, highlighting the importance of vascular repair.

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Area of Science:

  • Urology
  • Microsurgery
  • Trauma Surgery

Background:

  • Penile amputation is a rare and devastating injury requiring prompt surgical intervention.
  • Successful penile replantation depends on restoring vascular flow and ensuring tissue viability.

Observation:

  • A case of complete guillotine-type penile amputation at the proximal shaft is presented.
  • Blood flow was re-established 10 hours post-trauma, with initially good circulation in the replanted penis.
  • Progressive foreskin necrosis occurred secondary to a hematoma, despite good overall penile viability.

Findings:

  • The repair of deep dorsal penile vessels was crucial for corpus tissue healing and glans circulation.
  • Corpus tissue blood supply proved sufficient for penile survival, even with occlusion of repaired dorsal vessels.

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Last Updated: Jul 7, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision
07:28

Microscopic Replantation of Penile Glans Amputation Due to Circumcision

Published on: June 3, 2022

Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease
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  • Good cosmetic and urinary outcomes were observed 6 weeks post-replantation.

    • Implications:

    • This case underscores the viability of penile replantation even in complex scenarios with delayed revascularization.
    • Effective management of post-operative hematoma is critical to prevent complications like foreskin necrosis.
    • Understanding the collateral circulation pathways is essential for successful penile replantation outcomes.