Successful Microsurgical Penile Replantation Following Self Amputation in a Schizophrenic Patient

Indian J Urol. 2010 Jul;26(3):434-7. doi: 10.4103/0970-1591.70589.

Abstract

Amputation of the penis is a rare condition reported from various parts of the world as isolated cases or small series of patients; the common etiology is self-mutilating sharp amputation or an avulsion or crush injury in an industrial accident. A complete reconstruction of all penile structures should be attempted in one stage which provides the best chance for full rehabilitation of the patient. We report here a single case of total amputation of the penis in an acute paranoid schizophrenic patient. The penis was successfully reattached using a microsurgical technique. After surgery, near-normal appearance and function including a good urine flow and absence of urethral stricture, capabilities of erection and near normal sensitivity were observed.

Keywords: Genital self mutilation; management; penile replantation; schizophrenia.

Publication types

  • Case Reports
  • Retracted Publication