Technical recommendations for penile replantation based on lessons learned from penile reconstruction
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Updated: May 24, 2026
Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
Nathalie A Roche1, Bob T Vermeulen, Phillip N Blondeel
1Department of Plastic and Reconstructive Surgery, University Hospital Gent, Gent, Belgium. nathalie.roche@ugent.be
Abstract:
Penile amputation is an exceptional surgical emergency. Immediate replantation yields a high success and low complication rate. We report a case of a self-inflicted penile amputation treated with successful microsurgical replantation. Postoperative edema caused minor skin slough and temporary venous congestion was treated with medicinal leech therapy. Follow-up at 18 months showed normal subjective sensation; voiding and erectile function were present. Surgical management and technique refinements are discussed, based on a review of the literature and on our experience in penile reconstruction.
