Open AccessSuccessful microsurgical penile replantation following self amputation in a schizophrenic patient
Author(s) -
Gyan Saurabh,
Sushma Sagar,
Maneesh Singhal,
Rajesh Sagar,
MC Misra
Publication year - 2010
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.70589
Subject(s) - medicine , replantation , penis , amputation , surgery , avulsion , crush injury , etiology , microsurgery , rehabilitation , avulsion injury , physical therapy , psychiatry
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.