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Updated: Jun 20, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision
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Salvaging penile venous stripping surgery.

Geng-Long Hsu1, Heng-Shuen Chen, Cheng-Hsing Hsieh

  • 1Microsurgical Potency Reconstruction and Research Center, Department of Urology, China Medical University and Hospital, Taichung, Taiwan. genglonghsu@gmail.com

Journal of Andrology
|September 12, 2009
PubMed
Summary
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Salvaging penile venous surgeries can correct deformities and improve erectile function in select patients with poor prior outcomes. These challenging procedures offer hope for restoring penile morphology and sexual capability.

Area of Science:

  • Urology
  • Andrology
  • Reconstructive Surgery

Background:

  • Penile venous surgery is often abandoned due to concerns about disappointing functional outcomes and penile deformity.
  • Previous penile venous surgeries can lead to persistent erectile dysfunction and anatomical abnormalities.

Purpose of the Study:

  • To evaluate the efficacy of salvage penile venous surgery in correcting penile deformity.
  • To assess the potential for improving erectile function in patients with suboptimal results from prior venous surgeries.

Main Methods:

  • Retrospective analysis of 16 patients undergoing salvage penile venous surgery between 1986 and 2008.
  • Surgical techniques included median longitudinal pubic incision, vein stripping/ligation, and penile shaft stretching.
  • Erectile function assessed using the abridged 5-item International Index of Erectile Function (IIEF-5) where applicable.

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Main Results:

  • All patients reported satisfactory penile morphology postoperatively.
  • Significant improvement in erectile function was observed in the IIEF group (P < .001).
  • Two of three patients in the non-IIEF group achieved natural coitus.

Conclusions:

  • Salvage penile venous surgery, despite technical challenges, can effectively correct penile deformity.
  • These procedures can restore erectile function in some patients with poor outcomes from initial venous surgeries.
  • Offers a viable option for patients experiencing complications from prior penile venous interventions.