title: Technical recommendations for penile replantation based on lessons learned from penile reconstruction.
abstract: Penile amputation is an exceptional surgical emergency. Immediate replantation yields a high success and low complication rate. We report a case of a self-inflicted penile amputation treated with successful microsurgical replantation. Postoperative edema caused minor skin slough and temporary venous congestion was treated with medicinal leech therapy. Follow-up at 18 months showed normal subjective sensation; voiding and erectile function were present. Surgical management and technique refinements are discussed, based on a review of the literature and on our experience in penile reconstruction.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University Hospital Gent, Gent, Belgium. nathalie.roche@ugent.be
authors.forename: Nathalie A
authors.initials: NA
authors.lastname: Roche
authors.forename: Bob T
authors.initials: BT
authors.lastname: Vermeulen
authors.forename: Phillip N
authors.initials: PN
authors.lastname: Blondeel
authors.forename: Filip B
authors.initials: FB
authors.lastname: Stillaert
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery; D010413:Penis / Q000293:injuries / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012092:Replantation / Q000379:methods*; D012652:Self Mutilation