Department of Urology A, Mohammed V University in Rabat, Ibn Sina University Hospital, Rabat, Morocco.
Pan Afr Med J. 2021 Apr 7;38:334. doi: 10.11604/pamj.2021.38.334.28897. eCollection 2021.
Penile self-mutilation is a challenging situation that often jeopardizes sexual and voiding functions. Surgical treatment is currently based on penile replantation, nevertheless its requirements of time, conservation, and quality of amputated phallus and microsurgical expertise are not constantly available. Here, we present a case of penile self-inflicted amputation in a 28-years-old patient suffering from a psychotic disorder, who did not preserve the amputated phallus. In the first clinical examination, we have attested a hemorrhagic total penile section, 6cm from the penoscrotal angle. We performed immediate surgical management. Rudy and Borden technique is a reconstructive surgery procedure with interesting functional results, by performing a dorsal vascularized split-thickness skin flap to cover the penile shaft. The aim of this technique is to avoid perineostomy which compounds significantly the quality of life.
阴茎自残是一种具有挑战性的情况，常常危及性功能和排尿功能。目前的手术治疗基于阴茎再植，但它对断肢保存时间、条件和质量以及显微外科技术的要求并不总是能够得到满足。在这里，我们报告了一例 28 岁精神病患者的阴茎自伤性切断，患者未保存断肢。在首次临床检查中，我们发现距阴茎阴囊角 6cm 处有一处全阴茎节段性出血。我们立即进行了手术处理。Rudy 和 Borden 技术是一种具有有趣功能结果的重建手术，通过进行背侧带血管的游离中厚皮瓣覆盖阴茎干。该技术的目的是避免会显著降低生活质量的会阴造口术。
