Surgical management of an epidemic of penile amputations in Siam.
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  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.01/2011; 2011:865489. DOI:10.1155/2011/865489
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ABSTRACT: Penile amputation is an uncommon condition for which immediate surgical replantation is warranted. This work aimed to represent intervention and management for an amputated penis by replantation and reconstruction. A 23-year-old man presented with traumatic penile amputation for 2 h where the penile proximal part was 1 cm far from the pubis. Replantation included end-to-end anastomosis of the urethral mucosa over a catheter, approximation of the corpus cavernosum and tunica albuginea, anastomosis of the deep dorsal vein, dorsal nerve, both dorsal arteries and superficial dorsal vein. At day 5 post-operatively, the replanted penis had preserved capillary filling. The catheter was removed at day 11, where the patient urinated smoothly. The preliminary cosmetic appearance was satisfactory with frequent morning erection, reported night emission twice within the first month post-operatively. Sensation was preserved in the distal anastomosed stump. It is concluded that meticulous microsurgical technique decreases the possibility of skin loss and increases the chance of erectile function.Andrologia 09/2009; 41(4):264-7. DOI:10.1111/j.1439-0272.2009.00925.x · 1.17 Impact Factor
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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.