Document Detail

Return of sexual functioning following penile replant surgery.
MedLine Citation:
PMID:  2400297     Owner:  NLM     Status:  MEDLINE    
The penis, scrotum, and testicles of a 31-year-old man were cut off in a fight. Fourteen hours later the penis and one testicle were reattached, but the testicle later had to be removed. By 3 weeks normal urinary function returned but the penis was misshapen. The patient had suicidal intentions. His partner was sexually supportive but afraid to touch the penis. By 10 weeks penile swelling occurred in response to a movie with frank sexual content. By 12 weeks the penile swelling was sufficient for entry but the partner was acutely afraid that her vaginal contractions would tear the scars. The man was concerned because he experienced only mild sexual tensions. Physical examination reassured both, and they gained hope for recovery. At 16 weeks erections were still not full but active intercourse was attempted and he experienced seminal seepage and mild orgasmic sensations; she was relaxed enough to have orgasm. Testosterone was administered at regular intervals from the 19th week on, with immediate improvement of erection. By 32 weeks full erection, ejaculation, and orgasmic functions returned and the couple resumed their normal sexual practices.
G Szasz; M G McLoughlin; R J Warren
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of sexual behavior     Volume:  19     ISSN:  0004-0002     ISO Abbreviation:  Arch Sex Behav     Publication Date:  1990 Aug 
Date Detail:
Created Date:  1990-10-16     Completed Date:  1990-10-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1273516     Medline TA:  Arch Sex Behav     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  343-8     Citation Subset:  IM    
Department of Psychiatry, Faculty of Medicine, University of British Columbia, University Hospital, Vancouver, Canada.
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MeSH Terms
Amputation, Traumatic / surgery*
Coitus / physiology*
Ejaculation / physiology
Follow-Up Studies
Orgasm / physiology
Penile Erection / physiology
Penis / injuries*,  surgery
Replantation / methods*
Testis / injuries
Testosterone / blood
Wounds, Stab / surgery*
Reg. No./Substance:

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

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