Document Detail

Penile replantation after self-inflicted amputation.
MedLine Citation:
PMID:  1466557     Owner:  NLM     Status:  MEDLINE    
In 4 men with self-inflicted penile amputation, replantation was successful using microsurgical technique. Postoperative complications were minimal. In 1 man who had amputated his penis and then amputated his scrotum and testicles, a small skin graft was necessary to close a portion of the defect. A mild urethral stricture that developed in this man responded to dilation. Return of sensation was excellent. Normal erections were reported by all men. Microsurgical replantation is the treatment of choice for this injury and is superior to other techniques of penile reattachment, which have a high incidence of distal necrosis, fistula and stricture formation, as well as incomplete or absent sensation and compromised erectile function. Of concern in this group of men is the high incidence of previous or subsequent penile mutilation. Two of the 4 men have a history of recurrent self-mutilation. The follow-up in this series is longer than previously reported and the overall psychiatric pathology appears to be quite severe and persistent.
J R Sanger; H S Matloub; N J Yousif; F P Begun
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  29     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-01-21     Completed Date:  1993-01-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  579-84     Citation Subset:  IM    
Department of Plastic and Reconstruction Surgery, Medical College of Wisconsin, Milwaukee.
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MeSH Terms
Amputation, Traumatic / psychology,  surgery*
Middle Aged
Penile Erection
Penis / surgery*
Self Mutilation / psychology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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