title: Penile Amputation: Cosmetic and Functional Results.
abstract: BACKGROUND
  Penile amputation is a rare type of external genital trauma. It may arise from accidental trauma, assault or self-inflicted mutilation. As with all trauma, initial management focuses on assessment and resuscitation of the patient. When available, hypothermic preservation of the detached penis should be undertaken.
  
  
  OBJECTIVE
  This review serves to compile the current available information on etiology and management of penile amputation injuries, with focus on functional and cosmetic results.
  
  
  METHODS
  Main outcome measures were penile cosmetics, viability, and sensation; urethral patency and graft survival, functionality.
  
  
  METHODS
  A literature search using Medline, PubMed (U.S. National Library of Medicine and the National Institutes of Health), and abstracts from scientific meetings was performed from 1980-2013.
  
  
  RESULTS
  Due to the rarity of penile amputation injuries, no randomized trials exist. Likewise, available published series on management of this condition are comprised of a small number of patients.
  
  
  CONCLUSIONS
  Penile amputation is rare but challenging. Current microreplantation procedures have a uniformly good result with a minimum number of post-operative complications. When microreplantation cannot be performed, older corporal reattachment techniques may be offered. When phallic reconstruction is required, a microsurgical free forearm flap phalloplasty may be performed to restore the patient with an acceptable cosmetic and functional phallus. Virasoro R, Tonkin JB, McCammon KA, and Jordan GH. Penile amputation: Cosmetic and functional results. Sex Med Rev 2015;3:214-222.
authors: Department of Urology, Devine-Jordan Center for Reconstructive Surgery and Pelvic Health at Urology of Virginia, Eastern Virginia Medical School, Norfolk, VA, USA. Electronic address: rvirasoro@urologyofva.net.
authors: Ramón
authors: R
authors: Virasoro
authors: Department of Urology, Devine-Jordan Center for Reconstructive Surgery and Pelvic Health at Urology of Virginia, Eastern Virginia Medical School, Norfolk, VA, USA.
authors: Jeremy B
authors: JB
authors: Tonkin
authors: Department of Urology, Devine-Jordan Center for Reconstructive Surgery and Pelvic Health at Urology of Virginia, Eastern Virginia Medical School, Norfolk, VA, USA.
authors: Kurt A
authors: KA
authors: McCammon
authors: Department of Urology, Devine-Jordan Center for Reconstructive Surgery and Pelvic Health at Urology of Virginia, Eastern Virginia Medical School, Norfolk, VA, USA.
authors: Gerald H
authors: GH
authors: Jordan
keywords: Penile Amputation; Penile Replantation; Penile Trauma; Phalloplasty; Reconstructive Surgery