Hevia Palacios Vital, Garcia Navas Ricardo, Alvarez Rodriguez Sara, Burgos Revilla Francisco Javier
Servicio de Urologia. Hospital Ramon y Cajal . Madrid. Spain.
Arch Esp Urol. 2013 Nov;66(9):889-93.
To report a very uncommon case of penile open wound made by self-mutilation in a 51-year-old man, and to perform a bibliographic review.
51-year-old man presenting at the Emergency Department under Police guard after self-cutting his penis while he was urinating, presenting an almost complete circular section that required immediate surgical repair.
Early surgical management showed the section of almost the whole penile circumference, from ventral to dorsal, including urethra and both cavernous bodies, respecting only the dorsal vascular penile complex. We performed a primary anastomosis of the damaged structures and careful haemostasis of the penis.
Open traumas to the penis usually require an urgent surgical examination, being mandatory to try a primary reconstruction if the global clinical situation allows it. Cosmetic and functional postoperative results advise this attitude.
报告一例51岁男性因自残导致阴茎开放性伤口的非常罕见病例，并进行文献综述。
一名51岁男性在排尿时自行切割阴茎后，在警察护送下来到急诊科，阴茎呈现几乎完全环形离断，需要立即进行手术修复。
早期手术处理显示阴茎几乎整个周长从腹侧到背侧离断，包括尿道和两个海绵体，仅保留阴茎背侧血管复合体。我们对受损结构进行了一期吻合，并对阴茎进行了仔细止血。
阴茎开放性创伤通常需要紧急手术检查，如果整体临床情况允许，必须尝试进行一期重建。术后的美容和功能结果支持这种做法。
