De Luca Francesco, Garaffa Giulio, Maurizi Angela, Manzi Emy, De Dominicis Carlo, Ralph David
Department of Gynaecological and Urological Sciences, Sapienza University of Rome, Rome; Department of Urology Azienda Ospedaliera San Camillo Forlanini, Rome.
Arch Ital Urol Androl. 2017 Jun 30;89(2):166-168. doi: 10.4081/aiua.2017.2.166.
There are very few reported cases of traumatic amputation of the male genitalia due to animal bite. The management involves thorough washout of the wounds, debridement, antibiotic prophylaxis, tetanus and rabies immunization followed by immediate reconstruction or primary wound closure with delayed reconstruction, when immediate reconstruction is not feasible. When immediate reconstruction is not feasible, long-term good functional and cosmetic results are still possible in the majority of cases by performing total phallic reconstruction. In particular, it is now possible to fashion a cosmetically acceptable sensate phallus with incorporated neourethra, to allow the patient to void while standing and to ejaculate, and with enough bulk to allow the insertion of a penile prosthesis to guarantee the rigidity necessary to engage in penetrative sexual intercourse.
因动物咬伤导致男性生殖器创伤性截肢的报告病例极少。处理方法包括对伤口进行彻底冲洗、清创、预防性使用抗生素、破伤风和狂犬病免疫接种，若无法立即进行重建，则先进行一期伤口缝合并延迟重建。当无法立即进行重建时，在大多数情况下，通过进行全阴茎重建仍可获得良好的长期功能和外观效果。特别是现在，可以制作出外观可接受的、带有新尿道的有感觉的阴茎，使患者能够站立排尿和射精，并且有足够的体积来插入阴茎假体，以确保进行插入式性交所需的硬度。
