Purpose: We review our experience with the management of iatrogenic penile injuries. Apart from circumcision, serious damage to the penis can occur following hypospadias repair, surgery for priapism or total loss of the penis following surgical repair of bladder exstrophy.
Materials And Methods: A retrospective analysis of patients with iatrogenic penile amputation referred to us between 1980 and 2000 was undertaken. Causes of injury and choice of management were reviewed.
Results: Of the 13 cases treated during the 20-year period mechanism of primary injury was circumcision in 4, hypospadias repair in 6, priapism in 1, bladder exstrophy repair in 1 and penile carcinoma in 1. A variety of techniques were used for phallic reconstruction. Penile degloving, division of suspensory ligament and rotational skin flaps achieved penile augmentation and enhancement. Reasonable cosmesis and penile length were achieved in all cases. In indicated cases microsurgical phalloplasty was technically feasible. However long-term followup showed various complications including erosions from the use of a penile stiffener.
Conclusions: The ultimate goal of reconstructive surgery is to have a penis with normal function and appearance. The management of penile injury requires a wide variety of surgical techniques that are tailored to the individual patient. Expedient penile reconstruction is successful and therapeutic delay is associated with complications.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/01.ju.0000084147.28987.7f | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Rare Complication of an Inflatable Penile Prosthesis: Penile Skin Necrosis Due to Inappropriate Use of the Condom Catheter.
Cureus
November 2024
Department of Urology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR.
Penile prosthesis implantation is considered a last-resort treatment for erectile dysfunction, used when pharmacological and other conservative treatments are inadequate or at the patient's request. The well-documented complications of penile prostheses include pain, infection, mechanical failure, improper positioning, and erosion. In this case, we report a patient presenting with penile skin necrosis, despite the absence of typical risk factors such as diabetes mellitus, atherosclerosis, or chronic renal failure, attributed to pressure from a condom catheter that was used 15 years after the inflatable penile prosthesis implantation.
View Article and Find Full Text PDFMeasuring up: Ensuring Intra- and Interobserver Reliability in Stretched Penile Length with the SPLINT Technique.
J Indian Assoc Pediatr Surg
November 2024
Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Background: A discrepancy between the true and measured value of stretched penile length (SPL) may be a result of errors that can either be systematic or random. Hence, it becomes important to focus on the quality of measurements to prevent any iatrogenic harm to the patients.
Objective: The objective of this study was to assess the magnitude of intra- and interobserver variations in the measurement of SPL with the SPLINT technique.
[Surgical management of the distal urethral stricture diseases].
Beijing Da Xue Xue Bao Yi Xue Ban
December 2024
Department of Urology, Beijing Jishuitan Hospital, Capital Medical Universitay, Beijing 100035, China.
Objective: To evaluate the surgical methods for treating distal urethral stricture.
Methods: The clinical data of 80 patients with distal urethral stricture in Beijing Jishuitan Hospital, Captial Medical University between January 2018 and December 2022 were retrospectively collected. Including male genital lichen sclerosus (MGLS) 33 cases, iatrogenic injury 25 cases, postoperative hypospadias 12 cases, and other causes such as trauma 10 cases.
Etiology of panurethral strictures in a low socioeconomic status population.
Int Urol Nephrol
December 2024
Department of Surgery, Division of Urology, Rutgers New Jersey Medical School, 185 South Orange Avenue, Newark, NJ, 07103, USA.
Introduction: Panurethral strictures represent the most severe form within the anterior urethral stricture spectrum, requiring more technically complex repairs and resulting in poorer outcomes compared to localized anterior urethral strictures (penile or bulbar). This abstract aims to describe the distinct characteristics of patients with panurethral strictures in a low socioeconomic status population.
Methods: Patients presenting with localized anterior (penile or bulbar) or panurethral strictures at University Hospital in Newark, NJ, between 2021 and 2023 were retrospectively identified.
Urethral strictures - General aspects: Definition, anatomy of the urethra and its clinical application in stenosis, epidemiology, etiology, and principles of urethral reconstruction.
Fr J Urol
November 2024
Department of Urology, La Conception Academic Hospital, Assistance publique-Hôpitaux de Marseille (AP-HM), Marseille, France.
Background: Urethral strictures are a common and persistent pathology in urology with significant clinical repercussions. Our aim is to provide an overview of the general aspects of this condition.
Methods: A comprehensive review of the literature from PubMed was conducted covering the period from 2020 to 2023.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!