Abstract
Traumatic penile amputation is a rare clinical situation. We report a case of self-inflicted penile amputation in a patient with psychosis and discuss the surgical management. Acute management largely entails stabilization in preparation for surgery, where options include replantation of the amputated penis versus closure of the remaining stump, depending on the viability of the penis. Although replantation is the best option, it is often not possible and thus closure of the wound is acceptable
Highlights
Traumatic penile amputation is an uncommon surgical emergency with various etiologies
The largest case series comes from Thailand which developed much of the early understanding of the injury and management [2]
During the late 1970s, there was an epidemic of penile amputations by wives of unfaithful husbands leading to the treatment of 18 cases at a single center, representing the largest series to date
Summary
Traumatic penile amputation is an uncommon surgical emergency with various etiologies. The incidence of traumatic penile amputation remains low, limiting our understanding mainly to case reports and reviews. Hemostasis was achieved at the outside hospital with 5-0 Vicryl suture to the dorsal complex and a circumferential dressing. The patient arrived at our institution approximately 10-12 hours post injury. The skin was subsequently closed with running 3-0 Chromic after obtaining adequate hemostasis with 4-0 Monocryl suture and Bovie electrocautery. On post-operative day 2, the Foley catheter was removed and the dressing was taken down. On post-operative day 7, the patient had recovered well and was voiding effectively, but remained institutionalized for psychiatric care. On post-operative day 20, the patient was deemed stable from a psychiatric standpoint for discharge
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
