Download PDF
Author(s): Shahzad Ahmad1, Waqas Hayat2, Adnan Shakeel3, Danish khattak4
Received: 19/05/2024 |
Revised: 31/05/2024 |
Published: 01/06/2024 |
Pages: 42-44 |
DOI: https://doi.org/10.5455/pjps.1716100379
Penile amputation by assault or by any other cause including self-inflicted injury is a rare urological/plastic
surgery trauma for which immediate replantation is required. It is a highly specialized and challenging
procedure that requires microsurgical techniques due to the small blood vessels and nerves involved. We
present a case who presented to us in emergency department of Burns and Plastic Surgery Center, Peshawar,
Pakistan with a history of assault, resulting in amputation at the base of penis. Micro surgically, the penis was
replanted. Mild to moderate edema was observed in the postoperative period for up to 4 weeks but it resolved
on its own. After 6 weeks, the patient exhibited good urinary flow, morning erection and progressive sensory
recovery.
Keywords | Penile replantation, penile amputation, Microsurgery
- Fazi J, Adkins D, Knight J, Luchey A. Unusual mechanisms of penile amputation. Case reports in urology. 2019 Dec 26;2019.
- Henry N, Bergman H, Foong D, Filobbos G. Successful penile replantation after complete amputation and 23 hours ischaemia time: the first in reported literature. BMJ Case Reports CP. 2020 Jun 1;13(6):e234964.
- Tran AA, Machado BLC, Kuykendall KH, Spencer HJ, Scherzer ND, Almajed WS, Saghir N, Saghir R, Hellstrom WJGSex. The Revised PENIS Score and proposal of the PACKAGE Checklist: a meta-epidemiologic study on penile amputation and replantation. Sex Med Rev, 11(3):278-290, 01 Jun 2023.
- Liarto J, Adi K. Traumatic penile partial amputation caused by rubber band a case report. International journal of surgery case reports. 2021 Sep 1;86:106358.
- Elmaraghi S, Chen TJ, Heckman JE, Shiau JM, Williams DH, Abel EJ, Afifi AM. Functional penile replantation after traumatic avulsion amputation below the pubis: a case report. Microsurgery. 2020 Jan;40(1):70-3.
- Yang K, Liu Y, Wang W, Xiao Y, Li X, Zhou L. Successful penile replantation after macroscopic repair using vein blood-letting therapy. Urology Case Reports. 2020 Jan 1;28:101069.
- De M, Dawar R. The challenges and complications of re-implantation of the penis following amputation. Ghana Medical Journal. 2022 Mar 31;56(1):49-52.
- Fujiki M, Ozaki M, Kai A, Takushima A, Harii K. Successful second microsurgical replantation for amputated penis. Plast Reconstr Surg Glob Open. 2017;5(9):e1512.
All published material becomes the sole property of the Pakistan Journal of Plastic Surgery, copyrighted by the Pakistan Association of Plastic Surgeons (PAPS). By submitting an article or brief communication, all authors agree to these conditions.
During the submission process, all authors have required to complete a copyright transfer agreement, “Author Consent form” By completing the copyright transfer agreement, you are transferring copyright of figures, tables, videos, and the content of the manuscript to the Pakistan Association of Plastic Surgeons (PAPS).
If you do not wish to or cannot transfer copyright of some or all of your content, please contact the editorial office at pjpspakistan@gmail.com.