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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Autores principales:	H Shafi, A Akbar Zadeh Pasha, M Khak Zad, V , Zamani
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2006
Materias:	amputation penis testis trauma replantation Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4de73bb2b34f400c8e718b4db1f4e523
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spelling	oai:doaj.org-article:4de73bb2b34f400c8e718b4db1f4e5232021-11-10T09:12:49ZTotal amputation of penis and left testis: Case report1561-41072251-7170https://doaj.org/article/4de73bb2b34f400c8e718b4db1f4e5232006-06-01T00:00:00Zhttp://jbums.org/article-1-2537-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND 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.H ShafiA Akbar Zadeh PashaM Khak ZadV , ZamaniBabol University of Medical SciencesarticleamputationpenistestistraumareplantationMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 8, Iss 3, Pp 65-67 (2006)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	amputation penis testis trauma replantation Medicine R Medicine (General) R5-920
spellingShingle	amputation penis testis trauma replantation Medicine R Medicine (General) R5-920 H Shafi A Akbar Zadeh Pasha M Khak Zad V , Zamani Total amputation of penis and left testis: Case report
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.
format	article
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
title	Total amputation of penis and left testis: Case report
title_short	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_sort	total amputation of penis and left testis: case report
publisher	Babol University of Medical Sciences
publishDate	2006
url	https://doaj.org/article/4de73bb2b34f400c8e718b4db1f4e523
work_keys_str_mv	AT hshafi totalamputationofpenisandlefttestiscasereport AT aakbarzadehpasha totalamputationofpenisandlefttestiscasereport AT mkhakzad totalamputationofpenisandlefttestiscasereport AT vzamani totalamputationofpenisandlefttestiscasereport
_version_	1718440190331060224

Total amputation of penis and left testis: Case report

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