Academic literature on the topic 'Penile amputation'

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Journal articles on the topic "Penile amputation"

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Manganiello, Marc, William Knaus, Justin Cohen, and Bernard Lee. "Penile Self-amputation." Journal of Reconstructive Microsurgery Open 02, no. 01 (2017): e58-e62. http://dx.doi.org/10.1055/s-0037-1602792.

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Background A 24-year-old man was urgently transferred from an outside institution after self-amputating his penis. Methods The patient was suffering from a paranoid schizophrenic delusional episode. Voices told him to amputate his own penis with a utility knife. He was taken emergently to the operating room by urology and plastic surgery. Cystoscopy was performed and a 14F percutaneous suprapubic catheter was placed. The amputated distal penis and the proximal stump were debrided. The urethra, dorsal artery, and neurovascular bundles were mobilized. The distal urethra was spatulated dorsally and the proximal urethra was spatulated ventrally. The urethra was reanastomosed over a 16F Foley catheter with interrupted, 4–0 absorbable, monofilament suture. The corpora were reanastomosed with interrupted, 2–0 and 3–0, absorbable, monofilament suture. The arteries and nerve were reanastomosed. Total ischemia time was between 4 and 5 hours. Results The patient initially developed edema, ecchymosis, and mild incisional skin necrosis from the resulting reperfusion injury. However, the penile graft successfully maintained perfusion. He was discharged 2 weeks after his injury in stable psychiatric condition. His Foley catheter and suprapubic tube remained in place for 10 weeks. A voiding cystourethrogram (VCUG) demonstrated a patent urethra without evidence of urinary leakage or stricture. At the time of his VCUG, he experienced return of distal penile sensation and partial erections. Conclusion Penile reimplantation after self-amputation is successful if ischemic time is minimized and a multidisciplinary approach with plastic surgery and microvascular anastomosis is performed.
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Mumoli, Nicola, Matteo Giorgi-Pierfranceschi, Cesare Porta, Guendalina Manzionna, and Marianna Barberio. "Penile self-amputation." Internal and Emergency Medicine 13, no. 7 (2018): 1133. http://dx.doi.org/10.1007/s11739-018-1899-6.

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Abdurakhmanov, A. K., and V. A. Kopylov. "Traumatic amputation of penis." Kazan medical journal 95, no. 1 (2014): 116–17. http://dx.doi.org/10.17816/kmj1470.

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7 patients with penile traumas (4 - with penile fracture, 2 - degloving penile injury, 1 - traumatic amputation of the penis) were observed in the department of urology of the Municipal Hospital №5, Naberezhnye Chelny, Russia from 2009 to 2013. The penile trauma, regardless of its cause, is the major physical and mental trauma for the patient. It causes psychological distress, and impacts the subsequent quality of life in males. In domestic and foreign literature, there are few reports about the traumatic amputation of the penis as suicidal attempt in mental patients. At the presented case, patient himself performed the traumatic amputation to remove the strangulating ring. The patient used a metal ring to increase erection, after the coitus it caused the pathologic erection, and patient could not remove it. To decrease the edema, the patient cut the penile skin, but did not reckon the knife sharpness and the force, and performed the traumatic amputation of penis; the stump was thrown away by the patient. The described case can be distinguished because of the rare trauma mechanism in mentally healthy patient.
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Fazi, Julian, David Adkins, Jennifer Knight, and Adam Luchey. "Unusual Mechanisms of Penile Amputation." Case Reports in Urology 2019 (December 28, 2019): 1–4. http://dx.doi.org/10.1155/2019/1582047.

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Penile amputation is an uncommon and highly morbid injury. Many mechanisms have been reported ranging from self-mutilation and domestic violence to traumatic circumcisions. We present two unusual cases of traumatic penile amputation. An older gentleman endured extensive perineal trauma after being trapped underneath an industrial-sized lawnmower, and a young adolescent was bitten by an English bulldog and suffered amputation of the glans of his penis. These unique and very different cases of penile amputation highlight differences in operative managements, complications, and reconstructive possibilities.
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Kenneth, Aluora, Khainga Stanley, Nang’ole Ferdinand, et al. "Microsurgical Penile Replantation: Case Report." Annals of African Surgery 19, no. 2 (2022): 130–34. http://dx.doi.org/10.4314/aas.v19i2.12.

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Penile replantation is uncommon, with most data being case reports or case series. In our setting, replantation is fairly new despite penile amputations being common as a result of marital disputes and assault. Replantation remains the most ideal option for managing these cases. We present a case of penile replantation in a 17-year-old male after traumatic amputation following an assault. Some of the challenges we encountered included loss of skin and the glans with formation of a hypospadias. Nevertheless, the outcome was satisfactory with return of sensation and erection.
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Putra, Donny Eka, Theddyon Bhenlie Apry Kusbin, Paksi Satyagraha, and Stephanie Taneysa Widodo. "Case Report: Non-microscopic surgical management of incomplete penile amputation." F1000Research 9 (July 7, 2020): 681. http://dx.doi.org/10.12688/f1000research.23775.1.

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Background: Penile amputation is an emergency urologic condition requiring immediate attention in order to maximize functional outcomes. Unfortunately, there is limited experience and publication of case reports describing the successful replantation of penis after incomplete amputation, especially in facilities without adequate microsurgical tools and means. We hereby present a case of penile amputation caused by a mechanical grass cutter and a discussion of its surgical management. Case description: A 33-year-old Indonesian male presented to the emergency department with incomplete penile amputation six hours post injury. The patient has no prior medical history and presented with penile amputation due to a mechanical grass cutter trauma. He underwent immediate non-microsurgery reconstructive replantation of the penis, reattaching all visible vascular, corporal, and fascia layers. After replantation, the patient recovered well and showed preserved normal appearance and sensitivity of the penis. Subsequent Doppler ultrasound investigation revealed adequate arterial flow at the distal end of the anastomosis. The patient was discharged five days after surgery. Conclusion: In the absence of microsurgical tools and means, the use of non-microsurgical replantation should be the choice of treatment in the case of incomplete penile amputation. The technique showed good outcomes involving adequate functional and cosmetic restoration.
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Putra, Donny Eka, Theddyon Bhenlie Apry Kusbin, Paksi Satyagraha, and Stephanie Taneysa Widodo. "Case Report: Non-microscopic surgical management of incomplete penile amputation." F1000Research 9 (September 22, 2020): 681. http://dx.doi.org/10.12688/f1000research.23775.2.

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Background: Penile amputation is an emergency urologic condition requiring immediate attention in order to maximize functional outcomes. Unfortunately, there is limited experience and publication of case reports describing the successful replantation of penis after incomplete amputation, especially in facilities without adequate microsurgical tools and means. We hereby present a case of penile amputation caused by a mechanical grass cutter and a discussion of its surgical management. Case description: A 33-year-old Indonesian male presented to the emergency department with incomplete penile amputation six hours post injury. The patient has no prior medical history and presented with penile amputation due to a mechanical grass cutter trauma. He underwent immediate non-microsurgery reconstructive replantation of the penis, reattaching all visible vascular, corporal, and fascia layers. After replantation, the patient recovered well and showed preserved normal appearance and sensitivity of the penis. Subsequent Doppler ultrasound investigation revealed adequate arterial flow at the distal end of the anastomosis. The patient was discharged five days after surgery. Conclusion: In the absence of microsurgical tools and means, the use of non-microsurgical replantation with an at least 2.5x loupe magnification should be the choice of treatment in the case of incomplete penile amputation. The technique showed good outcomes involving adequate functional and cosmetic restoration.
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Roth, Kirk, Jason Izard, and Darren Beiko. "Self-performed glansectomy and surgical repair by a nonpsychotic patient on androgen replacement therapy." Canadian Urological Association Journal 3, no. 4 (2013): 25. http://dx.doi.org/10.5489/cuaj.1135.

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Genital self-amputation in men is a rare condition. We report aninteresting case of penile self-amputation that was performed andsurgically repaired by a nonpsychotic patient who was enrolledin a clinical trial for androgen replacement therapy. Using steriletechnique for amputation of the glans penis and using cotton threadto suture the wound, the patient was able to avoid hemorrhageand infection. This is the first reported case of androgen therapy–induced penile self-amputation with patient-performed surgicalreconstruction using primitive instruments.
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Henry, Nader, Henry Bergman, Deborah Foong, and George Filobbos. "Successful penile replantation after complete amputation and 23 hours ischaemia time: the first in reported literature." BMJ Case Reports 13, no. 6 (2020): e234964. http://dx.doi.org/10.1136/bcr-2020-234964.

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Complete penile amputation is a rare and poorly documented injury with severe physical and psychosocial implications. Our institution presents a case of successful penile replantation following 23 hours of ischaemia time in a 34-year-old man with a history of paranoid schizophrenia who sustained a complete penile amputation during an act of deliberate self-harm. To the best of our knowledge, this is the longest documented ischaemia time for a successful penile replant in literature. The patient was able to achieve a full erection as early as 6 weeks postoperatively. Skin necrosis was noted as a common complication and this was successfully managed with debridement and skin grafting. Penile amputation injuries should be managed in a specialist centre with urological and plastic surgeons with expertise in microsurgical reconstruction. Penile replantation should be attempted, even if ischaemia time is prolonged, despite lower success rates given the significance of the injury to an individual.
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Kulkarni, S., S. Bhadranwar, A. Rawal, A. Mousa, and P. M. Joshi. "Penile skin flap neourethra after radical penile amputation." European Urology Supplements 18, no. 1 (2019): e2294. http://dx.doi.org/10.1016/s1569-9056(19)31674-4.

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Dissertations / Theses on the topic "Penile amputation"

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Edholm, Sigurd, and Rasmus Alinder. "En ny modell för att beskriva den posturala kontrollen hos underbensamputerade." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för rehabilitering, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-41011.

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Bakgrund: För att minska risken för fallrelaterade skador hos amputerade är envaliderad modell som beskriver och undersöker balans viktigt. The invertedpendulum model (IPM) är en validerad modell som beskriver människans posturalakontroll vid stående. Validiteten är ifrågasättbar för transtibialtamputerade då desaknar aktiv plantarflektion i ankelleden. Därför hypotiserade Rusaw och Ramstrand(2016) att en ny modell krävdes.Metod: Protesanvändare (n = 8) och en kontrollgrupp (n = 7) utförde tre tester,stående på två kraftplattor, under tre olika villkor (totalt 9 tester). Villkoren var ögonöppna, ögon stängda samt feedback på viktfördelning. Data samlades in ochkorrelationskoefficienterna beräknades för att undersöka skillnaderna mellangruppernas medelvärden. För att validera modellen kinetiskt använde Alinder ochEdholm mekaniska begränsningar på kontrollgruppen. Detta i form av en anordningsom låste centre of pressure till en specifik punkt.Resultat: Som hypotiserat blev korrelationen mellan vänster sida för kontrollgruppen(r = -0.557) och den intakta sidan för protesbrukarna (r = -0.423) negativ. Dessutomvar korrelationen och för både protesanvändarna (r = 0.024) och kontrollgruppen (r= 0,207) nära 0 på högersida.Slutsats: Rusaw och Ramstrands (2016) nya modell kunde valideras utifrån resultatetpå denna studie.
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Books on the topic "Penile amputation"

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Hoskin, Peter. Penis. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199696567.003.0012.

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Chapter 8d discusses carcinoma of the penis, which is typically a squamous carcinoma arising on the penile shaft or glands in an uncircumcised patient. Management may be by primary surgery, either total amputation or partial amputation with reconstruction, or primary radiotherapy. Primary radiotherapy is indicated for those patients with T1 and T2 tumours <4 cm in diameter, particularly in those unfit for surgery, those with locally advanced disease and fixed inguinal lymph nodes, and for patients in whom surgical treatment may require total amputation and where they choose to have organ preservation by radiotherapy as an alternative. No randomized trial comparison is available to give accurate figures for the relative efficacy of either treatment. Brachytherapy is an alternative means of delivering high-dose radiotherapy to the penis and may be considered where there is local expertise for this instead of external beam treatment.
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Andrich, Daniela E., and Anthony R. Mundy. Genital trauma. Edited by Anthony R. Mundy. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0053.

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Genital trauma is the commonest type of both blunt and penetrating external trauma. Unlike renal trauma, the diagnosis is mainly clinical and the treatment is commonly surgical but the degree of trauma is rarely life-threatening, albeit a potential cause of infertility or erectile dysfunction. Iatrogenic trauma does occur but most trauma is blunt or penetrating external non-iatrogenic trauma. The commonest type of significant blunt trauma is penile fracture due to sexual intercourse or masturbation. Scrotal trauma causing a ruptured testis or haematocele is less common. Penetrating trauma can occur as a result of animal or human bites, or as a result of amputation other sharp injury, or as a result of gunshot wounds or other military injuries.
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Book chapters on the topic "Penile amputation"

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KRAMER, J. "Penile Amputation." In Manual of Equine Field Surgery. Elsevier, 2006. http://dx.doi.org/10.1016/b978-1-4160-0270-3.50040-3.

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Hoskin, Peter. "Penis." In External Beam Therapy. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198786757.003.0013.

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Chapter 13 discusses carcinoma of the penis t. Management may be by primary surgery, either total amputation or partial amputation with reconstruction, or primary radiotherapy. Primary radiotherapy is indicated for those patients with T1 and T2 tumours <4 cm in diameter, particularly in those unfit for surgery, those with locally advanced disease and fixed inguinal lymph nodes, and for patients in whom surgical treatment may require total amputation and where they choose to have organ preservation by radiotherapy as an alternative. No randomized trial comparison is available to give accurate figures for the relative efficacy of either treatment. Brachytherapy is an alternative means of delivering high-dose radiotherapy to the penis and may be considered where there is local expertise for this instead of external beam treatment.
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Kamali, Mohammad Hashim. "Shariah Penal Code in the Islamic Sultanate of Brunei Darussalam." In Crime and Punishment in Islamic Law. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190910648.003.0025.

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In October 2013, the sultan of Brunei made a widely publicised announcement that he would introduce a shariah penal code in Brunei. The announcement became a worldwide media event. The sultan added that punishments could include amputation for theft, stoning for adultery, and flogging for violations ranging from abortion to consumption of alcohol. As time went by, the initial rigour of these announcements was toned down and a more gradual approach was subsequently put in place.
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Reports on the topic "Penile amputation"

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Management of traumatic penile amputation. BJUI Knowledge, 2019. http://dx.doi.org/10.18591/bjuik.0711.

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Phalloplasty following amputation for penile cancer. BJUI Knowledge, 2017. http://dx.doi.org/10.18591/bjuik.0204.

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