title: [Successful penis replantation after auto-emasculation with suicidal intent].
abstract: We report a case of successful penis replantation in a young man with psychotic state and self-emasculation. For replantation we used microsurgical techniques. Success depends on microsurgery and postoperative management. Postoperative care consists in (1) improvement of microcirculation, (2) broad-spectrum antibiotic treatment, (3) blood flow control on a strict hourly schedule, (4) safe supra-pubic urinary diversion, and (5) an elevating dressing for the penis to ensure the blood flow.
authors.affiliation: Abteilung für Urologie, Krankenhaus Am Urban Berlin.
authors.forename: H J
authors.initials: HJ
authors.lastname: Brenneke
authors.forename: T
authors.initials: T
authors.lastname: Flietner
mesh_terms: D000328:Adult; D001458:Bandages; D001783:Blood Flow Velocity / Q000502:physiology; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D010413:Penis / Q000098:blood supply / Q000293:injuries* / Q000601:surgery; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000503:physiopathology; D011618:Psychotic Disorders / Q000150:complications / Q000523:psychology; D012092:Replantation / Q000379:methods*; D012611:Scrotum / Q000293:injuries; D012652:Self Mutilation / Q000523:psychology / Q000601:surgery*; D013406:Suicide, Attempted / Q000523:psychology; D013536:Suture Techniques; D013737:Testis / Q000293:injuries*; D018608:Ultrasonography, Doppler; D014563:Urodynamics / Q000502:physiology; D014567:Urography