| Return of sexual functioning following penile replant surgery. | |
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MedLine Citation:
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PMID: 2400297 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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G Szasz; M G McLoughlin; R J Warren |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Archives of sexual behavior Volume: 19 ISSN: 0004-0002 ISO Abbreviation: Arch Sex Behav Publication Date: 1990 Aug |
Date Detail:
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Created Date: 1990-10-16 Completed Date: 1990-10-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 1273516 Medline TA: Arch Sex Behav Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 343-8 Citation Subset: IM |
Affiliation:
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Department of Psychiatry, Faculty of Medicine, University of British Columbia, University Hospital, Vancouver, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Amputation, Traumatic / surgery* Coitus / physiology* Ejaculation / physiology Follow-Up Studies Humans Male Orgasm / physiology Penile Erection / physiology Penis / injuries*, surgery Replantation / methods* Testis / injuries Testosterone / blood Wounds, Stab / surgery* |
| Chemical | |
Reg. No./Substance:
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58-22-0/Testosterone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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