Successful penile replantation using loupe magnification

Area of Science:

• Urology
• Microsurgery
• Trauma Surgery

Background:

• Traumatic penile amputation is a rare but serious condition.
• It predominantly affects adult males and often results from self-inflicted injuries in mentally unstable individuals.
• Urgent surgical consultation and intervention are critical for successful outcomes.

Observation:

• The case involved a 24-year-old mentally challenged patient with penile amputation.
• The injury occurred while the penis was flaccid.
• Replantation was performed using 4.5x loupe-magnification, a non-microsurgical approach.

Findings:

• The penile replantation was successful, restoring a functional and fully erectile penis.
• No tissue loss was observed post-operatively.
• The patient experienced a 20-year problem-free follow-up, indicating long-term success of the procedure.

Implications:

• Loupe-magnification offers a viable alternative to complex microsurgery for penile replantation.
• This technique can achieve excellent functional and aesthetic results, even in challenging patient populations.
• Successful penile replantation can significantly improve quality of life for affected individuals.