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J Reconstr Microsurg 2012; 28(04): 247-250
DOI: 10.1055/s-0032-1306373
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Technical Recommendations for Penile Replantation Based on Lessons Learned from Penile Reconstruction

Nathalie A. Roche
1   Department of Plastic and Reconstructive Surgery, University Hospital Gent, Gent, Belgium
,
Bob T. Vermeulen
1   Department of Plastic and Reconstructive Surgery, University Hospital Gent, Gent, Belgium
,
Phillip N. Blondeel
1   Department of Plastic and Reconstructive Surgery, University Hospital Gent, Gent, Belgium
,
Filip B. Stillaert
1   Department of Plastic and Reconstructive Surgery, University Hospital Gent, Gent, Belgium
› Author Affiliations
Further Information

Publication History

14 August 2011

09 November 2011

Publication Date:
07 March 2012 (online)

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Abstract

Penile amputation is an exceptional surgical emergency. Immediate replantation yields a high success and low complication rate. We report a case of a self-inflicted penile amputation treated with successful microsurgical replantation. Postoperative edema caused minor skin slough and temporary venous congestion was treated with medicinal leech therapy. Follow-up at 18 months showed normal subjective sensation; voiding and erectile function were present. Surgical management and technique refinements are discussed, based on a review of the literature and on our experience in penile reconstruction.

Keywords

penile replantation - microsurgery - penile reconstruction
 

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