Penile Amputation: Cosmetic and Functional Results.

Area of Science:

• Urology
• Microsurgery
• Trauma Surgery

Background:

• Penile amputation is a rare external genital trauma with varied etiologies including accidental, assault, or self-inflicted causes.
• Initial management prioritizes patient assessment and resuscitation, with hypothermic preservation of the amputated part recommended when feasible.

Approach:

• A comprehensive literature search was conducted using Medline and PubMed from 1980 to 2013.
• The review focused on compiling information regarding the etiology and management of penile amputation injuries.
• Key outcome measures included cosmetic and functional results, penile viability and sensation, urethral patency, and graft survival.

Key Points:

• Due to the rarity of penile amputation, evidence is limited to small case series and no randomized trials exist.
• Microreplantation procedures demonstrate uniformly good outcomes with minimal postoperative complications.
• Alternative corporal reattachment techniques and microsurgical free forearm flap phalloplasty are options when microreplantation is not feasible or reconstruction is necessary.

Conclusions:

• Penile amputation presents a rare yet complex clinical challenge.
• Successful functional and cosmetic restoration can be achieved through various surgical techniques, including microreplantation and phalloplasty.
• Management strategies aim to optimize penile viability, sensation, and urethral function post-injury.