Microsurgical Penile Replantation: Siriraj Experience

Authors

  • Sitthichoke Taweepraditpol Division of Plastic Surgery, Department of Surgery , Faculty of Medicine, Siriraj Hospital, Mahidol University
  • Sirichai Kamnerdnakta Division of Plastic Surgery, Department of Surgery , Faculty of Medicine, Siriraj Hospital, Mahidol University
  • Sorawuth Chu-ongsakul Division of Plastic Surgery, Department of Surgery , Faculty of Medicine, Siriraj Hospital, Mahidol University
  • Apirag Chuangsuwanich Division of Plastic Surgery, Department of Surgery , Faculty of Medicine, Siriraj Hospital, Mahidol University

Keywords:

Amputation, replantation, microsurgery, penile erection

Abstract

Background: Penile amputation is a rare injury that almost always occurs in the adult population. While most cases are self-inflicted in nature, we have previously reported on an epidemic of penile amputation perpetrated by the wives of philandering men in Thailand. The authors present the experience of microsurgical penile replantation in our hospital.

Method: A single-institution retrospective review identified nine patients who had presented after penile amputation from January 2001 to January 2008. The medical charts were reviewed for demographic data, intraoperative findings, and procedures performed. Postoperative outcomes were evaluated by physical examination as well as patients’ reports on voiding, erectile function, and sexual intercourse.

Result: We performed microsurgical penile replantation in eight patients. The central arteries of penis were anastomosed in four patients. The follow-up period ranged from 17-64 months. Erectile function had returned in all of the patients. The 2-point discrimination had returned to nearly normal values in all of the patients.

Conclusion: Penile amputation is extremely rare nowadays. This study shows the procedure and outcome of the microvascular penile replantation. Currently we consider that microsurgical replantation is the procedure of choice for penile replantation with good functional and esthetic outcome.

References

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Published

2016-06-30

How to Cite

1.
Taweepraditpol S, Kamnerdnakta S, Chu-ongsakul S, Chuangsuwanich A. Microsurgical Penile Replantation: Siriraj Experience. Thai J Surg [Internet]. 2016 Jun. 30 [cited 2024 Nov. 22];37(2):58-61. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/219981

Issue

Vol. 37 No. 2 (2016): April - June

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.