Management of amputation injuries of the male genitalia

Modern tissue transfer techniques have drastically modified our approach to reconstructive surgery in general. Certainly, the management of traumatic genital amputation is no exception. Although the unique vascular properties of the penis have allowed for astonishingly good results in a number of cases of genital amputation injuries, it is certain that microreplantation procedures make for uniformly good results with a minimum of postoperative complications. After microreplantation, the patient is left with a penis that is cosmetically normal and functionally nearly normal or undetectably abnormal. Although microreplantation offers the best results, certainly in the case of penile amputation, if microreplantation technology is not available, the older corporal reattachment techniques should be offered.