Department of Clinical Surgical Sciences, The University of the West Indies, St. Augustine Eric Williams Medical Sciences Complex, Mount Hope, Trinidad, West Indies.
Int Urol Nephrol. 2011 Jun;43(2):437-9. doi: 10.1007/s11255-010-9761-4. Epub 2010 May 20.
Traumatic penile amputation is a rare condition requiring urgent surgical consultation with almost immediate surgical intervention. Although seen in both paediatric and adult populations, the majority are seen in the latter age group. These injuries are penetrating in nature, usually occur with the organ flaccid and most are self-inflicted by mentally unstable patients. Currently replantation involves meticulous microsurgery to reduce skin, urethra and graft loss, but these complications may still occur. Non-microsurgical techniques have been utilised with good post-operative outcomes. This report describes penile replantation in a 24-year old mentally challenged patient using 4.5× loupe-magnification to restore a functional, fully erectile penis without tissue loss and a 20-year problem free follow-up.
外伤性阴茎离断是一种罕见的疾病，需要紧急外科会诊，并几乎立即进行外科干预。虽然这种情况在儿童和成人中都有发生，但大多数发生在后者的年龄组。这些损伤是穿透性的，通常发生在器官松弛时，大多数是由精神不稳定的患者自行造成的。目前，再植术涉及到精细的显微外科手术，以减少皮肤、尿道和移植物的损失，但这些并发症仍可能发生。非显微外科技术已被成功应用于治疗，取得了良好的术后效果。本报告描述了一名 24 岁的智力障碍患者的阴茎再植术，使用 4.5×放大镜放大倍数来恢复一个功能正常、完全勃起的阴茎，没有组织损失，20 年无问题随访。
