Microsurgical penile replantation facilitated by postoperative HBO treatment.
Successful microsurgical replantation of a penis amputated at the level of the pubis is a rare occurrence worldwide. Moreover, the use of hyperbaric oxygen (HBO) for a postoperative replant Pseudomonas wound infection has not been reported. There is also disagreement regarding the importance of microsurgical repair of only the dorsal arteries or only the profundi arteries of the penis. A case is reported of penile replantation with a postoperative Pseudomonas wound infection treated with HBO to prevent potential replant loss, with a worldwide literature review. At 1-year postoperative follow-up, the patient has normal urinary flow and reports spontaneous erection, with the ability for intromission and a sensate glans. HBO facilitated the success of a penile replantation complicated by postoperative Pseudomonas wound infection. In addition, a literature review supports the microsurgical repair of at least a single isolated dorsal penile artery, but not a single or multiple profundi arteries.
Landström
Jerone T
JT
Guam Memorial Hospital Authority, USNH-Guam, Guam. handsurgery@guam.net
Schuyler
Robert W
RW
Macris
George P
GP
D000328:Adult; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D008866:Microsurgery / Q000379:methods; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D011182:Postoperative Care; D011552:Pseudomonas Infections / Q000628:therapy; D012092:Replantation / Q000379:methods; D012652:Self Mutilation; D013530:Surgical Wound Infection / Q000628:therapy