Penile Amputation: Cosmetic and Functional Results

Presentation and resolution of gender dysphoria as a positive symptom in a young schizophrenic man who presented with self‐emasculation: Frontiers of bioethics, psychiatry, and microsurgical genital reconstruction

“…Prior groups have reported that with a microsurgical approach, the rate of urethral stricture is decreased, likely secondary to the possibility of identifying and re-anastomosing the dorsal artery, which supplies the corpus spongiosum. 17,21 RUG in our patient confirmed this to be true and at 12-month follow up was suggested by normal uroflowmetry and residual.…”

“…Prompt microsurgical replantation of the genitalia is crucial to meeting the goal of a functional, both for voiding and sexuality, and esthetic outcome. 16,17 While most literature focusing on small case series, small meta-analyses have suggested that the best outcomes are achieved with decreased ischemia time and a microsurgical approach. 18 Ischemia time should be <16 hours, replantation should focus on a watertight urethral anastomosis, and the neurovascular anastomosis should preferably be done with a microsurgical approach.…”

“…Prompt microsurgical replantation of the genitalia is crucial to meeting the goal of a functional, both for voiding and sexuality, and esthetic outcome 16,17 . While most literature focusing on small case series, small meta‐analyses have suggested that the best outcomes are achieved with decreased ischemia time and a microsurgical approach 18 .…”

Neo-glans reconstruction after glans amputation during circumcision using autologous buccal mucosal graft

“…Amongst external genitalia traumas, penile or glans amputation is very rare case. 1 During circumcision, glans injury is mostly due to glans trapped in the circumcision clamp or while performing guillotine technique, which usually results in partial or total amputation of glans penis.…”

Cambios en el perfil y manejo de los traumatismos genitourinarios en un área de salud estándar

“…La reimplantación sin visión microscópica presenta tasas más altas de estenos y mayor pérdida de sensibilidad. (346). El procedimiento consta de siete pasos: cierre uretral en dos planos sobre un catéter, disección del paquete vasculonervioso para identificar los vasos y nervios dañados, cierre de la albugínea con sutura reabsorbible, anastomosis microscópica de la arteria dorsal, reparación de la vena dorsal, reparación del nervio dorsal y colocación de catéter uretral o cistostomía suprapúbica ( 16)En los casos de ausencia de no disponibilidad del pene cortado se realizará resección peneana con cierre de los cavernosos y foramción de neomeato uretral (16).…”