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Updated: May 24, 2026
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Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
Technical recommendations for penile replantation based on lessons learned from penile reconstruction
Nathalie A Roche1, Bob T Vermeulen, Phillip N Blondeel
1Department of Plastic and Reconstructive Surgery, University Hospital Gent, Gent, Belgium. nathalie.roche@ugent.be
Journal of Reconstructive Microsurgery
|March 9, 2012
Summary
Successful microsurgical replantation of a self-inflicted penile amputation is reported. Medicinal leech therapy managed postoperative venous congestion, with full functional recovery at 18 months.
Area of Science:
- Urology
- Microsurgery
- Reconstructive Surgery
Background:
- Penile amputation is a rare surgical emergency requiring immediate intervention.
- Early replantation is associated with high success and low complication rates.
Observation:
- A case of self-inflicted penile amputation successfully treated with microsurgical replantation is presented.
- Postoperative edema led to minor skin slough and temporary venous congestion.
Findings:
- Medicinal leech therapy effectively resolved venous congestion.
- At 18 months post-replantation, patients reported normal subjective sensation, voiding, and erectile function.
Implications:
- This case highlights the efficacy of microsurgical techniques in penile reconstruction.
- Refined surgical management strategies can improve outcomes for penile amputation injuries.
