Penile Allotransplantation: Pushing the Limits

Hawksworth, Dorota J.; Cooney, Damon S.; Burnett, Arthur L.; Bivalacqua, Trinity J.; Redett, Richard J.

doi:10.1016/j.euf.2019.08.004

Cited by 9 publications

(2 citation statements)

References 11 publications

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“…This complicated multistage procedure carries a high rate of the donor site and ap complications (4)(6). Owing to the inability of conventional phalloplasty to completely restore the penile function, the idea of penile transplantation comes to the forefront of genitourinary reconstruction (24). The rst successful penile transplantation was conducted in South Africa in the year 2014 (6).…”

Section: Discussionmentioning

confidence: 99%

“…The rst successful penile transplantation was conducted in South Africa in the year 2014 (6). Although the procedure has highly controversial biotechnical issues and psychological impact on the patient and his partner, the future is promising (24). In our setting there is a lack of equipment and experience that may be needed for the management of severe penile injury cases, as the author was the only urologist who was responsible for the treatment of such cases, so the priority of the treatment was to stop the bleeding, cover the tissues as appropriate and maintain patent urine ow.…”

Section: Discussionmentioning

confidence: 99%

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WITHDRAWN: Penile Injury: 4 Years’ Experience of A single Surgeon in A limited Resources Setting

Alzubier

2022

Preprint

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Background Penile injuries are uncommon with difficult management of more severe cases. This study aims to review their causes and to present experience in their management according to the limited available facilities in a limited resources hospital. Materials and methods A four-year experience with penile injury in a limited resources hospital in the east of Sudan was recorded. Records of 32 cases of emergency penile surgical conditions between January 2016 to March 2020 were retrospectively reviewed, of them only 17 cases of significant penile injuries were included in the study, they were divided into a pediatric and adult group according to age with further subdivision of each group according to the nature of the injury. Results Seventeen patients with penile injuries were treated during this period. Pediatric group (n = 4), all of them are victims of traditional circumcision, 2 of them presented with glans penis amputation, one with gangrenous glans, and the fourth one with mild glans injury. The adult group was subdivided into 3 subgroups, the first one is the group of penile fracture (n = 8), the second one is the group of degloving penile injury (n = 2), and the last one is the group of penile amputation injury (n = 3). Management included a variety of surgical techniques that were tailored to individual patients. The outcome of the intervention was presented case by case. Conclusions severe penile injuries should be managed as a case-by-case policy. The field of reconstructive penile surgery needs to be developed to improve the outcome of surgical intervention. Community orientation and work safety measures should be applied to avoid penile injuries that may result from traditional circumcision and machinery trauma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%