Temporary ectopic testicular replantation, refabrication and orthotopic transfer.

Bilateral traumatic castration if left untreated can result in permanent sexual, social and psychological maladjustments. We hereby report a novel procedure of temporary ectopic replantation of a traumatically avulsed testis on the forearm with refabrication and subsequent successful orthotopic microsurgical transfer to the perineum. The significance of this replantation is related to the refabrication of a long pedicle for subsequent reattachment to the perineum. This would not have been possible but for the ectopic replantation.