Auto-amputation of penis due to carcinoma: Still a threat in the era of modern medicine: Report of two cases.

Incidence of penile carcinoma is decreasing worldwide. Nevertheless, the incidence of penile cancer is still significant in various tropical countries, and it often presents in advanced stage. We report two unique cases of penile auto-amputation due to advanced cancer and review relevant literature. Both the patients presented with ulcerative lesion replacing penile base following automatic sloughing of the whole penis and voiding dysfunction. In addition, the first patient had metastatic inguinal lymph nodes. Supra-pubic urinary diversion was the initial management in both the patients. The first patient was treated with combined chemo-radiation, but he succumbed to death following two cycles of chemotherapy. The second patient was successfully treated with total penectomy and perineal urethrostomy. He recovered well but was lost to follow-up.

A Case Report of Microsurgical Replantation of Completely Amputated Adult Penis

The majority of penile amputations happen by self mutilation because of psychologic problem in adult and by surgical operation accident while doing circumcision in children. In the past when microsurgery was not developed, the survival of a replanted penis depended on sinusoidal blood flow of reapproximated penile tissues. This method resulted in many complications such as tissue necrosis, urethral fistula or stricture, loss of sensation, and erectile dysfunction. Recently, microsurgical method of replantation in the amputated penis could reduce complications that had happened before remarkably and about 40 cases of successful replantation has been reported. However, surgical procedures and results show differences by each and every surgeon. We describe the technique of microsurgical penile replantation and a case followed-up for 6 months. The patient was a 38-year-old man with a history of chronic schizophrenia who emasculated himself with a straw cutter. A particularly good functional result was achieved including restoration of sensation in the penile shaft and in the glans, recovery of normal urinary function, and return of erectile capacity.

A Case of Successful Penile Replantation / 대한비뇨기과학회지

Traumatic amputation of a penis is an unusual injury. Amputation of the penis occurs most commonly as an act of self-emasculation, but has also been reported as resulting from assaults or accidental dismemberments. We report a case of successful clinical replantation of an amputated penis resulting from assaults by using a microvascular surgery.

A Case of Self-emasculation / 대한비뇨기과학회지

Generally, traumatic penile amputation is rare. Amputation of penis is likely to be self-inflicted most commonly. When penis is amputated, reimplantation requires microvascular surgery. Herein we present a case of successful reimplantation of completely amputated penis in 40 years old schizophrenia.