Penile amputation

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Background

  • Majority are self inflicted, related to mental illness
  • Blood loss seldom life-threatening
  • Surgical emergency

Clinical Features

Differential Diagnosis

Penile trauma

Evaluation

Management

  • Amputated part should be placed in a sterile bag after wrapped in wet saline gauze, then place in another bag submerged in ice and tap water[1]
    • DO NOT submerge in saline and ice since freezing point will be higher
  • Surgical options include[2]:
    • Reimplantation of the appendage
    • Closure of the remaining stump
    • Delayed phallic replacement or reconstruction after healing

Disposition

See Also

External Links

References

  1. Chang AJ and Brandes SB. Advances in diagnosis and management of genital injuries. Urol Clin North Am. 2013; 40:427-438.
  2. Jezior JR, et al. Management of penile amputation injuries. World J Surg. 2011; 25:1602-1609.