Penile amputation

Background
  • Majority are self inflicted, related to mental illness
  • Blood loss seldom life-threatening
  • Surgical emergency

Clinical Features

Differential Diagnosis

Penile trauma

Evaluation

Management
  • Amputated part should be placed in a sterile bag after wrapped in wet saline gauze, then place in another bag submerged in ice and tap water[1]
    • DO NOT submerge in saline and ice since freezing point will be higher
  • Surgical options include[2]:
    • Reimplantation of the appendage
    • Closure of the remaining stump
    • Delayed phallic replacement or reconstruction after healing

Disposition

See Also

References
  1. Chang AJ and Brandes SB. Advances in diagnosis and management of genital injuries. Urol Clin North Am. 2013; 40:427-438.
  2. Jezior JR, et al. Management of penile amputation injuries. World J Surg. 2011; 25:1602-1609.
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