Faculty Collaboration Database

Temporary ectopic implantation of an amputated penis. Plast Reconstr Surg 1994 Feb;93(2):408-12

Date

02/01/1994

Pubmed ID

8310037

DOI

10.1097/00006534-199402000-00031

Scopus ID

2-s2.0-0028010032 (requires institutional sign-in at Scopus site)   36 Citations

Abstract

A case of temporary ectopic implantation of an amputated penis to the forearm followed by subsequent return to its anatomic position is reported. The penis was amputated by a riding lawnmower, and massive contamination of the perineum and an extensive hematoma precluded immediate replantation. The penile vessels were attached to the radial artery and venae comitantes on the forearm, where it survived completely. After 4 weeks, the edema and hematoma of the perineum had resolved, and the penis was returned to its anatomic position by microsurgical technique. Arteries, veins, and nerves were repaired. The penis survived in its entirety. Return of sensation has been excellent. A urethrocutaneous fistula developed that required secondary closure with local flaps. Temporary ectopic replantation of the penis is a useful salvage procedure when the perineum is heavily contaminated or too extensively damaged for immediate replantation.

Author List

Matloub HS, Yousif NJ, Sanger JR

Authors

Hani S. Matloub MD Professor in the Plastic Surgery department at Medical College of Wisconsin
James R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Amputation, Traumatic
Arteriovenous Shunt, Surgical
Forearm
Humans
Male
Microsurgery
Penis
Radial Artery
Replantation
Surgery, Plastic
Time Factors