title: Penile Replantation After Five Hours of Warm Ischemia.
abstract: Although a rare occurrence, this event may occur as a result of self-mutilation among individuals with psychiatric disturbances or due to work-related accidents, iatrogenic injuries or the actions of individuals motivated by jealously, rage and feelings of betrayal. In western societies, most penile amputations are the result of self-aggression during a psychotic episode, the treatment of victims involves resuscitation, stabilization and immediate psychiatric support. The amputated tissue must be preserved under hypothermic conditions. Micro-surgery is currently the most widely employed method for penile replantation. This paper describes a successful case of penile replantation following 5 hours of warm ischemia.
authors.affiliation: Department of Urology, Faculty of Medicine of São José do Rio Preto (FAMERP), SP, Brazil.
authors.forename: Fernando N
authors.initials: FN
authors.lastname: Facio
authors.affiliation: Department of Urology, Faculty of Medicine of São José do Rio Preto (FAMERP), SP, Brazil.
authors.forename: Luis C
authors.initials: LC
authors.lastname: Spessoto
authors.affiliation: Department of Urology, Faculty of Medicine of São José do Rio Preto (FAMERP), SP, Brazil.
authors.forename: Pedro
authors.initials: P
authors.lastname: Arruda
authors.affiliation: Department of Urology, Amazonas Federal University, Manaus, Amazonas, Brazil.
authors.forename: Cristiano S
authors.initials: CS
authors.lastname: Paiva
authors.affiliation: Department of Urology, Faculty of Medicine of São José do Rio Preto (FAMERP), SP, Brazil.
authors.forename: José G
authors.initials: JG
authors.lastname: Arruda
authors.affiliation: FACERES, Medical School, São José do Rio Preto, SP, Brazil.
authors.forename: Maria F
authors.initials: MF
authors.lastname: Facio
keywords: Amputation; Ischemia; Microsurgery; Replantation