Surgical management of an epidemic of penile amputations in Siam.

Bangkok, Thailand
The American Journal of Surgery (Impact Factor: 2.41). 10/1983; 146(3):376-82. DOI: 10.1016/0002-9610(83)90420-8
Source: PubMed

ABSTRACT Thailand recently experienced an epidemic of penile amputations. These were usually performed by angry wives on philandering husbands. This outbreak appeared to have been fueled by graphic press reports and fortunately seems to have abated. A technique for reanastomosis of the amputated penile segment was first described by McRoberts et al [5] in 1968. It was modified further so that it can be performed in any general hospital with an acceptable result. Experience with this procedure in 18 patients has been described.

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    ABSTRACT: Penile amputation is a rare condition for which immediate surgical replantation is warranted. We present herein one case of a 27-year-old male who presented to the Emergency Department after his wife cut his penis. The penis was replanted microsurgically. The deep dorsal penile veins and superficial veins were anastomosed. Although we could not reanastomose the arteries, wound healing occurred without any problem one week postoperatively and the patient regained erectile function 4 weeks after surgery. At 1-year follow-up examinations he reported on restored erectile function and a normal urinary function.
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    ABSTRACT: A case report is presented of a young male patient seen at the University Teaching Hospital Lusaka Zambia with a right scrotal mass. During orchidectomy which was performed through a low inguinal incision iatrogenic complete penile amputation occurred. Subsequent direct replantation was done without microsurgical repair. The excellent outcome achieved with complete sexual function but no sensory or skin loss leads the authors to a discussion on the blood supply to the penis and the possible clinical significance in the management of penile disease. It is well known that the blood supply to the skin of the penis is from the superficial external pudendal artery and distinct from the dorsal artery to the penis which supplies the erectile cylinders. The dorsal artery to the penis is considered an end artery. The case report suggests good anastomosis between these two arteries probably through the prepuce. Microsurgical vascular repair services are not readily available in many parts of the developing world.