Posttraumatic Penile Replantation with Minimal Skin Necrosis

Author:

Veeramani Anamika1,Hwang Charles D.1,Gardenier Jason C.1,Fruge Seth E.1,Khouri Kimberly S.1,Ehret Ashley L.1,Vieira Brittany L.1,Buta Martin R.1,Cetrulo Curtis L.1

Affiliation:

1. From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Massachusetts General Hospital, Harvard University, Boston, Ma.

Abstract

Summary: Penile amputation is a surgical emergency where practical and timely perioperative management is crucial for ensuring a successful outcome. Tenuous viability of penile and scrotal skin has been well described in the literature, with a putative mechanism attributed to the transection of distal branches of the external pudendal artery. Although the perforasomes critical to penile replantation have been debated, this case report details a patient who successfully recovered sensation and function with minimal necrosis after penile replantation. Surgically, this was facilitated by intentional drain placement, aggressive debridement beyond the zone of injury, and planned redundancies with dorsal artery/vein anastomoses via interposition grafts of the dorsal penile vessels alone.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Surgery,General Medicine

Reference14 articles.

1. Traumatic penile amputation: a case report.;Patial;BMC Urol,2017

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4. Successful second microsurgical replantation for amputated penis.;Fujiki;Plast Reconstr Surg Glob Open,2017

5. Self-penile glans amputation: a report of two cases.;Terayama;Acute Med Surg,2017

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