Published online Aug 6, 2023. doi: 10.12998/wjcc.v11.i22.5373
Peer-review started: April 26, 2023
First decision: June 12, 2023
Revised: June 20, 2023
Accepted: July 17, 2023
Article in press: July 17, 2023
Published online: August 6, 2023
Processing time: 99 Days and 0.4 Hours
Traumatic amputation of the penis is a rare surgical emergency, usually caused by self-mutilation, accidents, circumcision, assault and animal attacks. This study aimed to summarize our treatment experience involving penile reconstruction in a rare case of a self-strangulation induced chronical penile partial amputation.
A 22-year-old man presented with self-strangulation induced chronical penile partial amputation for 3 mo where the penile proximal part was 1 cm far from the pubis. Reconstruction methods included end-to-end anastomosis of the urethral mucosa, proximal anastomosis of the corpus cavernosum and tunica albuginea of the penis, anastomosis of the deep dorsal vein, dorsal artery, and superficial dorsal vein. Patient urinated smoothly after the catheter was removed on day 21. 3 mo after the surgery, the patient's penile preliminary cosmetic appearance was satisfactory, with occasional morning erections. Distal penile sensation was preserved, yet erection hardness of the distal penis was not satisfactory.
Complete preoperative assessment and prompt surgical intervention decreases loss of residual penile functions.
Core Tip: We report a rare case of penile partial amputation. Through complete preoperative evaluation and appropriate surgical management, the patient's penile urination and erectile function were preserved. At the same time, the importance of psychological intervention on the rehabilitation of patients with self-injury was further discussed.