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BTDMJB. 2009; 5(3): 123-126

Microsurgical reimplantantion of a self-amputated penis with anastomosis of a single deep dorsal penile artery: Case report

Necati Gürbüz, Bedi Özbay, Nadir Kalfazade, Serdar Karadağ, Eray Kemahlı, Muzaffer Baş, Ali İhsan Taşçı.

Microsurgical penile reimplantation was performed in a 24 years old man with chronic schizophrenia after a complete penile self-amputation. Urethra, corpora cavernosa and right deep dorsal penile artery were anastomosed microsurgically 6 hours after trauma. Skin necrosis on postoperative day 4 and distal urethral defect at the end of the first week developed. Necrotic tissues were debrided and a free skin graft was laid on the defect. During long-term follow-up, there was a distal urethral defect which was 1.5 cm in length, the sensation was decreased on distal penile shaft and glans and penile length was also shortened. The patient had morning erections, but he has not attempted sexual intercourse. We have observed rigid erection continuing for 10 minutes with combined injection stimulation test.

Key words: Penile amputation, penile reimplantation, microsurgical reimplantation

Article Language: Turkish English

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