Related Experiment Video
Updated: Jul 3, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
[Complete necrosis of the penis and testes by strangulation in a psychotic patient]
S Bart1, T Culty, A-C Pizzoferrato
1Service d'Urologie et deTransplantation Rénale, Hôpital Pitié-Salpêtrière, Groupe Hospitalier Pitié-Salpêtrière, Faculté de Médecine Pierre-Marie-Curie, Université Paris-V, Paris, France. stephane.bart2@orange.fr
Abstract:
Complete necrosis of the penis and scrotum due to strangulation of the external genitalia is unusually encountered in urologic emergencies. Urological conservative management is recommended. Delayed presentation is a major source of complications. We report the case of a psychotic patient, who was transferred from the emergency department in a context of complete necrosis of the external genitalia. This patient's history included chronic psychotic disorder and positive HIV serology, but he refused to take either neuroleptic or antiretroviral therapy. Complete amputation of the penis and bilateral orchidectomy were performed. We report the first six months of medical management.
Related Concept Videos
Psychosexual Stages of Personality: Phallic
Necrosis
Morphological Manifestations of Necrosis
Necrotic cells show different types of morphological appearance depending on the type of tissue and infection. In coagulative necrosis, cells become anucleated and die, but their...
Psychosurgery
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Penis
Anatomy of the Penis
The glans penis, or the head, is the terminal part of the penis and houses the external urethral orifice, the exit point for urine and semen. Covered by the prepuce, or foreskin, the glans is noted for its sensitivity and plays a key role in sexual pleasure. The body of the...
Psychosexual Stages of Personality: Genital