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Surgical Management of Traumatic Penile Amputation: A Case Report and Review of the World Literature

机译:创伤性阴茎截肢术的外科治疗:病例报告与世界文学评论

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AbstractIntroductionThere is paucity of case reports that describe the successful reimplantation of a penis after amputation. We sought to report on self-inflicted penile amputation and comment on its surgical management and review current literature.AimTo report on self-inflicted penile amputation and comment on its surgical management and review current literature.MethodsA 19-year-old male with no prior medical history presented to our university-affiliated trauma center following sustaining a self-inflicted amputation of shaft penis secondary to severe methamphetamine-induced psychosis. He immediately underwent extensive reconstructive reimplantation of the penis performed jointly by plastics and urology teams reattaching all visible neurovascular bundles, urethra, and corporal and fascial layers. The patient was discharged with a suprapubic tube in place and a Foley catheter in place with well-healing tissue.Main Outcome MeasuresTo review the current published literature and case reports on the management of penile amputation with particular emphasis its etiology, surgical repairs, potential complications and functional outcomes.ResultsWe report herein a case of a traumatic penile amputation and successful outcome of microscopic reimplantation and review of the published literature with particular comments on surgical managements.ConclusionWe review the literature and case reports on penile amputation and its etiology, surgical management, variables effecting outcomes, and its complications. Raheem OA, Mirheydar HS, Patel ND, Patel SH, Suliman A, and Buckley JC. Surgical management of traumatic penile amputation: A case report and review of the world literature. Sex Med 2015;3:49–53.
机译:摘要简介很少有病例报告描述了截肢后成功植入阴茎的方法。我们试图报告自体阴茎截肢术并对其外科治疗进行评论并复习当前文献。目的:报道自体阴茎截肢术并对其外科治疗进行评论并复习当前文献。方法:19岁男性,既往无在因甲基苯丙胺引起的严重精神病继发自残截肢后,向我们的大学附属创伤中心提交了病史。他立即接受了塑料和泌尿科团队联合进行的阴茎的广泛重建再植入,重新附着了所有可见的神经血管束,尿道以及下肢和筋膜层。患者的出院时已行耻骨上管,Foley导管已就诊,并且组织良好。主要结局指标回顾当前已发表的有关阴茎截肢治疗的文献和病例报告,特别是其病因,手术修复和潜在并发症结果我们在此报告了一个创伤性阴茎截肢的病例,并成功进行了显微再植术,并回顾了已发表的文献,并对手术治疗给予了特别的评论。结论我们在此回顾了有关阴茎截肢及其病因,外科治疗,影响结果及其并发症的变量。 Raheem OA,Mirheydar HS,Patel ND,Patel SH,Suliman A和Buckley JC。创伤性阴茎截肢的外科处理:病例报告和世界文献回顾。性医学杂志2015; 3:49–53。

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