Surgical management of an epidemic of penile amputations in siam

Penile amputation and successful reattachment and the role of winter shunt in postoperative viability: A case report and literature review

“…These are all commonly described in the literature. 1,6,10 Retaining erectile function after a complete amputation of the penis has also been described. 12,[14][15][16] However, the minimal complications and the maintenance of erectile function are particularly impressive in this case given that the amputated penis was ingested prior to replantation.…”

“…9 Complications are common following replantation, and are well-described in a series of 18 penile amputations and replantations from an epidemic in Thailand in the 1970s, though most replantations were performed with non-microsurgical techniques. 10 Complications include surgical site infections, skin necrosis, penile edema, urethral strictures, urethral fistula, and distal penile numbness. 11,12 A microsurgical technique has been associated with lower rates of complications, specifically fistula formation, urethral stenosis, skin necrosis, loss of sensation, and erectile dysfunction.…”

Traumatic Penile Amputation: A Case Report and Acute Management

“…Frequently, the injury is self-inflicted by patients suffering from an acute psychotic episode [1]. However, the injury has also been described secondary to domestic violence, other criminal assaults, and accidental trauma [2][3][4]. Nonetheless, the incidence of traumatic penile amputation remains low, limiting our understanding mainly to case reports and reviews.…”

“…Nonetheless, the incidence of traumatic penile amputation remains low, limiting our understanding mainly to case reports and reviews. Notably, 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.…”

“…Since then, many macrosurgical replantations have been reported with varying degrees of success, most notably from the case series from Thailand [2]. The first microsurgical approach was described in 1977 by Cohen et al and Temai et al [9,10].…”