Total amputation of penis and left testis: Case report
BACKGROUND AND OBJECTIVE: Penile amputation is one of the rare complications of genitourinary tract injuries. Most cases of penile amputation are the result of self mutilation in patients suffering from psychiatric diseases. Penile amputation with less common causes is accidental trauma and feloniou...
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| Format: | Article |
| Language: | English |
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Babol University of Medical Sciences
2006-06-01
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| Series: | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul |
| Subjects: | |
| Online Access: | http://jbums.org/article-1-2537-en.html |
| _version_ | 1830430152295710720 |
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| author | H Shafi A Akbar Zadeh Pasha M Khak Zad V , Zamani |
| author_facet | H Shafi A Akbar Zadeh Pasha M Khak Zad V , Zamani |
| author_sort | H Shafi |
| collection | DOAJ |
| description | BACKGROUND AND OBJECTIVE: Penile amputation is one of the rare complications of genitourinary tract injuries. Most cases of penile amputation are the result of self mutilation in patients suffering from psychiatric diseases. Penile amputation with less common causes is accidental trauma and felonious assault. In this paper we present a case with total amputation of penis and left testis who was treated by a complete team of surgery.CASE: A 44 year old man who was injured by combine farm machine and developed total penile amputation from the base and total amputation of left testis from spermatic cord in inguinal area. Patient with hypovolemic shock due to severe bleeding was admitted to emergency ward. After resuscitation of patient and stabilization of vital signs he underwent open cystostomy, perineal urethrostomy and right testis fixation based on severity of trauma, necrosis of amputated segment and nonvisualization of proximal of penis. Now, patient has complete urinary continence and is candidated for penile prosthesis or repair via radius or gracilis muscles but he refuses this procedure.CONCLUSION: However total amputation of penis and testis in accidental trauma is very rare, a complete surgical team including urologist, microsurgeon and plastic surgeon should be organized and replantation should be performed if distal part of penis is viable. |
| first_indexed | 2024-12-21T01:43:14Z |
| format | Article |
| id | doaj.art-4de73bb2b34f400c8e718b4db1f4e523 |
| institution | Directory Open Access Journal |
| issn | 1561-4107 2251-7170 |
| language | English |
| last_indexed | 2024-12-21T01:43:14Z |
| publishDate | 2006-06-01 |
| publisher | Babol University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul |
| spelling | doaj.art-4de73bb2b34f400c8e718b4db1f4e5232022-12-21T19:20:05ZengBabol University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul1561-41072251-71702006-06-01836567Total amputation of penis and left testis: Case reportH Shafi0A Akbar Zadeh Pasha1M Khak Zad2V , Zamani3 BACKGROUND AND OBJECTIVE: Penile amputation is one of the rare complications of genitourinary tract injuries. Most cases of penile amputation are the result of self mutilation in patients suffering from psychiatric diseases. Penile amputation with less common causes is accidental trauma and felonious assault. In this paper we present a case with total amputation of penis and left testis who was treated by a complete team of surgery.CASE: A 44 year old man who was injured by combine farm machine and developed total penile amputation from the base and total amputation of left testis from spermatic cord in inguinal area. Patient with hypovolemic shock due to severe bleeding was admitted to emergency ward. After resuscitation of patient and stabilization of vital signs he underwent open cystostomy, perineal urethrostomy and right testis fixation based on severity of trauma, necrosis of amputated segment and nonvisualization of proximal of penis. Now, patient has complete urinary continence and is candidated for penile prosthesis or repair via radius or gracilis muscles but he refuses this procedure.CONCLUSION: However total amputation of penis and testis in accidental trauma is very rare, a complete surgical team including urologist, microsurgeon and plastic surgeon should be organized and replantation should be performed if distal part of penis is viable.http://jbums.org/article-1-2537-en.htmlamputationpenistestistraumareplantation |
| spellingShingle | H Shafi A Akbar Zadeh Pasha M Khak Zad V , Zamani Total amputation of penis and left testis: Case report Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul amputation penis testis trauma replantation |
| title | Total amputation of penis and left testis: Case report |
| title_full | Total amputation of penis and left testis: Case report |
| title_fullStr | Total amputation of penis and left testis: Case report |
| title_full_unstemmed | Total amputation of penis and left testis: Case report |
| title_short | Total amputation of penis and left testis: Case report |
| title_sort | total amputation of penis and left testis case report |
| topic | amputation penis testis trauma replantation |
| url | http://jbums.org/article-1-2537-en.html |
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