Terayama Takero, Sakamoto Toshihisa, Ikeuchi Hisashi, Tanaka Yoshihiro
Department of Traumatology and Critical Care Medicine National Defense Medical College Hospital Tokorozawa Saitama Japan.
Acute Med Surg. 2016 May 27;4(1):101-104. doi: 10.1002/ams2.199. eCollection 2017 Jan.
Self-penile amputation, especially at the glans, has rarely been reported. Most reported cases of self-amputation were performed at the proximal or peripubic area, and there only one case of self-amputation at the glans has been reported in Japan. We report two cases of self-penile amputation at the glans. Case 1: A 31-year-old man with no psychiatric disease completely amputated his penis at the glans. He underwent a stump plasty under spinal anesthesia. Case 2: A 46-year-old man with schizophrenia amputated his penis at the glans. Surgery and the post-surgical course were almost the same as described in Case 1.
Both patients experienced few functional problems except for slight urinary stream disorders.
A stump plasty is a good procedure to treat self-penile amputation at the glans. It is simple, quick, does not require special technical skills, and is not associated with serious complications.
阴茎自断，尤其是龟头部位的自断，鲜有报道。大多数报道的自断病例发生在近端或耻骨周围区域，在日本仅报道过1例龟头自断病例。我们报告2例龟头阴茎自断病例。病例1：一名无精神疾病的31岁男性将自己的阴茎在龟头处完全切断。他在脊髓麻醉下接受了残端成形术。病例2：一名患有精神分裂症的46岁男性在龟头处切断了自己的阴茎。手术及术后过程与病例1基本相同。
除轻微尿流障碍外，两名患者几乎没有功能问题。
残端成形术是治疗龟头阴茎自断的一种良好方法。它操作简单、迅速，不需要特殊技术技能，且不伴有严重并发症。
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