Division of Pediatric Urology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
Division of Urology, Naval Medical Center Portsmouth, Portsmouth, VA.
Urology. 2014 Aug;84(2):472-4. doi: 10.1016/j.urology.2014.04.021. Epub 2014 Jun 11.
Circumcision is the most common surgical procedure in males in the United States, and minor complications are not uncommon. Major complications like partial penile amputations have been reported with successful replantation. Complete penile amputations in adult males have been described, and successful replantation has been reported with increasing success. We report a case of complete penile amputation at the penopubic junction using a Mogen clamp in a 7-day-old neonate with replantation using postoperative leech therapy. To our knowledge this is the first time leech therapy has been used postoperatively for neonatal penile amputation.
割礼是美国男性最常见的手术,轻微并发症并不罕见。已有报道称,部分阴茎切断等严重并发症可成功再植。成人男性完全性阴茎切断已有报道,且随着技术的进步,成功再植的报道越来越多。我们报告了一例 7 天大的新生儿使用 Mogen 夹在阴茎耻骨联合处完全性阴茎切断的病例,术后采用水蛭疗法进行再植。据我们所知,这是首次在新生儿阴茎切断术后使用水蛭疗法。