Penile replantation, complication management, and technique refinement.
We describe a case of complete guillotine-type penile amputation at the proximal penile shaft. The blood flow was established 10 h after trauma. Circulation in the replanted penis was quite good but there was progressive prepuce necrosis after the hematoma. Cosmetic and urinary outcome was good 6 weeks later. The repair of deep dorsal penile vessels helps in corpus tissue healing and glans circulation. The blood supply from the corpus tissue is sufficient for the survival of the replanted penis even when the repaired dorsal vessels were occluded. Surgical pitfalls in replantation procedures and complication management are discussed.
Chou
Erh-Kang
EK
Plastic Surgery Department, China Medical University Hospital, Taichung City, Taiwan. erkang27@yahoo.com.tw
Tai
Yu-Tzu
YT
Wu
Chao-I
CI
Lin
Meng-Shi
MS
Chen
Hsin-Han
HH
Chang
Sophia Chia-Ning
SC
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D009336:Necrosis; D010413:Penis / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D012092:Replantation / Q000009:adverse effects* / Q000379:methods*