Successful Microsurgical Replantation of Amputated Penis: A Case Report and Review of Literature
Case report published in World J Plast Surg (2023)
Abstract
This study aims to explain microscopic replantation in a rare case of a wholly amputated penis after prolonged ischemia. A 36-year-old patient underwent microscopic replantation of the penis after 9 hours. The penis was completely amputated due to self-mutilation. Microvascular replantation was performed after pre-operative preparation. On the second day after surgery, congestion was observed in the penis, and three sessions of leech therapy were conducted each time the leeches were placed for 30 minutes and then detached by themselves. The patient was referred to a psychiatrist to continue treatment after discharge from the hospital. Penile amputation is a rare situation and has different causes. There are various treatments to repair the amputated penis, which are both microvascular and microvascular. The microsurgery methods have shown the best results. In the present case, due to microsurgical artery repair and the early start of leech therapy, there was limited and predictable necrosis in the area of the penoscrotal junction flap, which underwent debridement and skin graft. Complete amputation of the penis is a rare phenomenon. Efforts should be made to perform the replantation surgery as soon as possible. The venous outflow is an essential factor in the success of penile re-implantation, and completely restored vascular and sensory function in this case. Early initiation of psychological care to control underlying disease leads to further cooperation of the patient to handle complications and avoid the recurrence of self-injury.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
Case of a 36-year-old patient with self-inflicted penile amputation undergoing microscopic replantation after 9 hours of ischemia. Three sessions of leech therapy applied for postoperative congestion management; complete sensory and vascular recovery achieved.
Por qué esto importa para la hirudoterapia
Este informe de caso describe la reimplantación microquirúrgica de un pene completamente amputado tras 9 horas de isquemia en un paciente de 36 años. En el segundo día postoperatorio se desarrolló congestión peniana y se aplicaron tres sesiones de hirudoterapia medicinal (de 30 minutos cada una, con desprendimiento espontáneo de las sanguijuelas). Los autores atribuyen la necrosis limitada y previsible en el colgajo de la unión penoescrotal —manejada con desbridamiento e injerto cutáneo— a la combinación de la reparación arterial microquirúrgica y el inicio temprano de la hirudoterapia, con restauración completa de la función vascular y sensitiva. Para el dominio de ASH, este caso ilustra una indicación clásica de rescate mediante hirudoterapia: el alivio de la congestión venosa tras reimplantación microvascular cuando el drenaje venoso está comprometido. La advertencia honesta es que se trata de un informe de un solo caso sin grupo control; si bien la hirudoterapia se describe como beneficiosa, no es posible aislar su contribución relativa a la reparación quirúrgica, y no se presentan resultados más allá de este único paciente.
Citación
Successful Microsurgical Replantation of Amputated Penis: A Case Report and Review of Literature.
Akhoondinasab MR et al. · World journal of plastic surgery, 2023
Contexto clínico relacionado
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Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: 18 de junio de 2026