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Related Experiment Video

Updated: Mar 13, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision

Microscopic Replantation of Penile Glans Amputation Due to Circumcision

Published on: June 3, 2022

Penile Amputation: Cosmetic and Functional Results.

Ramón Virasoro¹, Jeremy B Tonkin¹, Kurt A McCammon¹

¹Department of Urology, Devine-Jordan Center for Reconstructive Surgery and Pelvic Health at Urology of Virginia, Eastern Virginia Medical School, Norfolk, VA, USA.

Sexual Medicine Reviews

|July 1, 2015

Summary

Penile amputation is a rare but challenging injury. Microreplantation offers good results for penile restoration, with alternative techniques available when needed.

Keywords:

Penile Amputation Penile Replantation Penile Trauma Phalloplasty Reconstructive Surgery

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Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

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Published on: October 18, 2024

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.