Riyach Omar, El Majdoub Aziz, Tazi Mohammed Fadl, El Ammari Jalal Eddine, El Fassi Mohammed Jamal, Khallouk Abdelhak, Farih Moulay Hassan
Faculté de Médecineet de Pharmacie de Fès, BP: 1893, Km 2,200 Route de Sidi Harazem Fes, Fes, Morocco.
J Med Case Rep. 2014 Apr 9;8:125. doi: 10.1186/1752-1947-8-125.
Amputation of the penis is a rare traumatic injury reported from various parts of the world as isolated cases. A complete reconstruction of all penile structures should be attempted in one stage which provides the best chance for full rehabilitation of the patient.
We report the case of a 35-year-old Berber man who was admitted at the Emergency Department for incomplete criminal amputation of his penis, which was successfully reattached by using a macrosurgical technique. After surgery, near-normal appearance and function including a good urine flow and absence of urethral stricture, capability of erection and near normal sensitivity, were observed.
The importance of using macrosurgical reimplantation in incomplete penile amputation in order to achieve better functional and cosmetic results is discussed. In addition, we also highlight the potential anatomical role of corpus spongiosum in the arterial and venous blood supply to the penis.
阴茎离断是一种罕见的创伤性损伤，世界各地均有散发病例报道。应尝试在一期对阴茎所有结构进行完整重建，这为患者的全面康复提供了最佳机会。
我们报告一例35岁的柏柏尔族男性患者，因阴茎不完全性外伤性离断入院急诊，采用宏观外科技术成功再植。术后观察到外观和功能接近正常，包括尿流良好、无尿道狭窄、有勃起能力且感觉接近正常。
讨论了在阴茎不完全离断中采用宏观外科再植术以获得更好功能和美容效果的重要性。此外，我们还强调了海绵体在阴茎动静脉血供中的潜在解剖学作用。
