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Traumatic penis amputation is a urological emergency. Although repair techniques have been well described in literature, failure of replantation and its causes are poorly understood and reported. The aim of this study is to evaluate the treatment and prognosis of microsurgical replantation of penile amputation with a relative long-term ischemia, and review related literatures to summarize relevant clinical experiences. We report two cases of penile amputation and microsurgical replantation performed in our hospital in August 2016. In the first case, the patient was injured by sharp scissors due to family conflict, while in the second case, it was a mechanical injury. For both cases, microsurgical approaches were adopted. After the microsurgical replantation, both the patients recovered well and showed normal urination, erectile function, return of sensations and satisfactory cosmetic appearance. With the development of microsurgical techniques, the successful re-anastomosis of blood vessel and nerve can increase the survival and functional recovery of the penis even in cases exceeding 10 hours of ischemia. This provides greater possibility of graft survival with minimum complication.
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http://dx.doi.org/10.21037/tau.2018.11.11 | DOI Listing |
Future Sci OA
December 2025
Royal Medical Services, Amman, Jordan.
Background: Finger replantation is a complex microsurgical procedure that requires optimal conditions for success. Understanding the knowledge and awareness of healthcare professionals regarding finger preservation and replantation can help improve outcomes for patients with amputated fingers.
Methods: A cross-sectional survey was conducted among healthcare professionals, including clinical years medical students, surgical residents, and specialists.
Int J Surg Case Rep
August 2025
Urology A Department, University Hospital ibn Sina, Rabat, Morocco. Electronic address:
Introduction And Importance: Hair-thread tourniquet syndrome (HTTS) represents a rare entity that can result in significant morbidity if not promptly identified and treated. Characterized by constriction of appendages by hair or thread, resulting in vascular compromise, ischemia, and potential tissue necrosis.
Case Presentation: We present the case of a 9-year-old circumcised male who developed penile HTTS, manifesting as severe edema, erythema, partial ischemia, and near-complete urethral transection.
J Reconstr Microsurg
August 2025
Department of Plastic Surgery and Burns, La Fe University and Polytechnic Hospital, Valencia, Spain.
Introduction The development of appropriate microsurgical and supermicrosurgical skills is essential for the reconstructive surgeon. Training courses frequently employ in-vivo models, which have various drawbacks: limited availability, high cost and/or ethical conflicts1. In order to overcome these limitations, we looked for an inert model that was analogous to the gold-standard in-vivo, surpassing at the same time the classic ex-vivo models.
View Article and Find Full Text PDFSemin Plast Surg
August 2025
Center for Vascularized Composite Allotransplantation, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Digit replantation has undergone significant advancements since the 1960s. Despite progress, distal digit replantation remains one of the most challenging microsurgical procedures due to technical and clinical complexities. This review examines current challenges, strategic solutions in distal digit replantation, grounded in clinical experience and literature review.
View Article and Find Full Text PDFJ Hand Microsurg
September 2025
International Center for Lymphedema, Hiroshima University Hospital, Hiroshima, Japan.
Purpose: Cold intolerance following finger amputation is a major postoperative complication. Although current evidence suggests decreased blood flow to digital peripheral vessels may be associated with cold intolerance, the underlying mechanism remains controversial. This study aimed to investigate the relationship between skin perfusion in affected fingers and the presence of cold intolerance.
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