Dergamoun Hamza, Lakssir Jihad, Gdaouni Aziz E L, Jalal Ossama, Saouli Amine, Ziouziou Imad
Department of Urology, Souss Massa University Hospital, Faculty of Medicine and Pharmacy of Agadir, Ibn Zohr University, Agadir, Morocco.
Int J Surg Case Rep. 2024 Mar;116:109384. doi: 10.1016/j.ijscr.2024.109384. Epub 2024 Feb 11.
Penile amputation is an unusual situation reported globally as isolated cases and small series. It constitutes a urological emergency which requires microsurgical skills for the repair of the penis. We present a case of a penile amputation and discuss the management of this challenging condition.
A 47-year-old patient presented to the emergency room with total amputation of corpora cavernosa of the penis resulting from knife aggression. The patient underwent successful microsurgical replantation, demonstrating positive progression and satisfactory results.
Microneurovascular repair of penile amputation is the gold standard. Recommendations include a meticulous anastomosis, and a focus on vein anastomoses for optimal outcomes as well as associating a psychiatric approach. The PENIS score classifies the severity of lesion and predict postoperative complications and main outcomes.
Penile amputation presents a distinctive challenge, necessitating microsurgical anastomosis, meticulous tissue management, and adherence to established protocols are imperative for effectively managing such intricate cases. Even in cases of posttraumatic partial penile amputation after a long period, can yield satisfactory morphofunctional outcomes.
阴茎离断是一种在全球范围内作为孤立病例和小系列报道的罕见情况。它构成了一种泌尿外科急症，需要显微外科技术来修复阴茎。我们报告一例阴茎离断病例，并讨论这种具有挑战性情况的处理方法。
一名47岁患者因刀伤导致阴茎海绵体完全离断，被送往急诊室。该患者接受了成功的显微外科再植手术，显示出积极的进展和满意的结果。
阴茎离断的显微神经血管修复是金标准。建议包括精细的吻合，注重静脉吻合以获得最佳效果，并结合心理治疗方法。阴茎（PENIS）评分对损伤严重程度进行分类，并预测术后并发症和主要结果。
阴茎离断带来了独特的挑战，需要进行显微外科吻合，精心的组织管理，并且必须遵循既定方案以有效处理此类复杂病例。即使是创伤后长期部分阴茎离断的病例，也能产生满意的形态功能结果。
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