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Robotic-assisted microsurgical penile replantation

International Journal of Impotence Research volume 34, pages 113–115 (2022)Cite this article

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Penile amputation is a rare injury that requires emergent surgical intervention and replantation. Trauma, iatrogenic injuries (traumatic circumcisions), and self-mutilation are the main causes [1]. Microsurgery is the preferred method for penile replantation to reduce postoperative complication rates. As a novel microsurgical tool, incorporation of the da Vinci robotic platform (Intuitive Surgical Inc., Sunnyvale, CA, USA) to standard microsurgical procedures has been demonstrated in various surgical disciplines including plastic surgery, otorhinolaryngology, orthopedics, and urology [2, 3]. SPY Elite laser angiographic system (Lifecell, Inc/Novadaq Technologies, Concord, Ontario, Canada) is another novel and effective method in order to demonstrate tissue perfusion, ischemia, and skin necrosis [4]. To the best of our knowledge the use of robotic assistance in penile replantation has not been previously reported.

In this report, we present a case of self-inflicted penile amputation treated with robot-assisted microsurgery and managed with SPY angiography, postoperatively.

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Fig. 1: Preoperative, intraoperative, and postoperative photos of the case.

References

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Authors and Affiliations

  1. Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Mahmut Muhsin Yilmaz, Hakan Uzun & Ali Emre Aksu

  2. Departments of Urology, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Ahmet Gudeloglu

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  1. Mahmut Muhsin Yilmaz
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  2. Hakan Uzun
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  3. Ahmet Gudeloglu
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  4. Ali Emre Aksu
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Correspondence to Mahmut Muhsin Yilmaz.

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Yilmaz, M.M., Uzun, H., Gudeloglu, A. et al. Robotic-assisted microsurgical penile replantation. Int J Impot Res 34, 113–115 (2022). https://doi.org/10.1038/s41443-020-00359-7

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