title: Technical considerations and outcomes in penile replantation.
abstract: Penile amputations are uncommon injuries, therefore, the management and outcome of these patients have been compiled from solitary case studies or short reviews. Accidental trauma during circumcision, injury inflicted by a partner following marital discord, and genital self-mutilation observed in patients with deep psychosis, account for a majority of the presentations. Initially, patients with total penile amputations were managed by resuturing the penile structures without repairing the vessels. A high incidence of skin and glans necrosis, urethral strictures, and a failure of sensory recovery were observed, though the penile shaft sometimes survived. Presently, microsurgical replantation has markedly improved the results, though issues of skin loss and urethral stricture still persist. A series of three patients with penile amputation is presented (complete = 2, partial = 1); the technical considerations and outcomes are discussed.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Gautam
authors.initials: G
authors.lastname: Biswas
keywords: genital; penile replantation; self-mutilation