Arch Hand Microsurg 2019; 24(4): 394-401  
Replantation of the Completely Amputated Adult Penis: Two Case Reports Using Microsurgical Technique
Da Woon Lee, Seok Won Hong, Jun Hyuk Kim
Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea
Correspondence to: Jun Hyuk Kim
Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan 31151, Korea
TEL: +82-41-570-2195, FAX: +82-41-574-6133, E-mail: psdoctor@schmc.ac.kr, ORCID: https://orcid.org/0000-0002-0505-3158
Received: August 9, 2019; Revised: October 10, 2019; Accepted: November 5, 2019; Published online: December 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Traumatic penile amputation is a rare but catastrophic event, so all possible attempts should be made for salvage. Recent use of microsurgical methods have the potential to reduce complications, but to date, most reported surgical successes have focused on survival and were not complication-free. To restore baseline penile function, normal anatomic structure must be re-established. We have attained flawless anatomic replantation of the adult penis and describe two case reports where complications were eliminated by a microsurgical approach. One patient was a 38-year-old schizophrenic, and the other was a 43-year-old chronic alcoholic. Under microscopy, normal function and aesthetics were restored, without complications. Rather than viability, the most critical issue is a return to normal status. Microsurgical replantation is thus the treatment of choice in instances of penile amputation, and is aimed at restoring normal anatomy and function.
Keywords: Penis, Replantation, Amputation, Microsurgery


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