Testicular replantation represents a unique circumstance. There are very few reports documenting their experience with testicle replantation and to the best of the authors' knowledge, this is the first case that has been reported in the peer-reviewed literature following a wrong site surgery. Therefore, we detail our technique and outcome when faced with such a rare event. In addition we review the literature, in order to compare and report the experience of others. This case highlights the value of applied microsurgical knowledge and the importance of cross-disciplinary efforts to improve patient outcomes.
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| http://dx.doi.org/10.1016/j.urology.2021.11.044 | DOI Listing |
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Self-inflicted penile and testicular amputation: A very rare case report and treatment dilemma in the absence of microsurgical service.
Int J Surg Case Rep
September 2024
Department of Psychiatry, College of Health and Medical Science Dilla University Dilla, Ethiopia.
Introduction And Importance: Genital self-mutilation is a rare urologic surgical emergency that is usually encountered in patients with underlying psychiatric illness. Because of shortage of published data and variance in management schemes worldwide, these conditions can present a significant management dilemma.
Case Presentation: In this case report we present this rare phenomenon, where a known schizophrenic patient presented after he amputated both of his testes and penis under the influence of command hallucination.
Rare Case of Managing and Evaluating Viability after Replantation of a Serial Self-Amputated Bilateral Testis by a Patient with Schizophrenia: A Case Report.
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Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Republic of Korea.
Amputation of the testis is very rare in clinical situations; therefore, most surgeons have no experience with an amputated testis. In this case, a 31-year-old male with schizophrenia amputated both testes due to self-mutilation. We performed replantation surgery via microscopy.
View Article and Find Full Text PDFFirst Report of Testicular Replantation Following Wrong-Site Surgery.
Urology
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Department of Plastic Surgery, Cleveland Clinic, Cleveland OH.
Testicular replantation represents a unique circumstance. There are very few reports documenting their experience with testicle replantation and to the best of the authors' knowledge, this is the first case that has been reported in the peer-reviewed literature following a wrong site surgery. Therefore, we detail our technique and outcome when faced with such a rare event.
View Article and Find Full Text PDF[Male genital self-mutilation: A case series].
Prog Urol
March 2020
Service d'urologie, CHU Ibn Rochd de Casablanca, Casablanca, Maroc.
Introduction: Genital self-mutilation is a rare phenomenon that often occurs on a psychotic ground. Its diagnosis is clinical and its management involves a coordinated action of urologists and psychiatrists.
Materials And Method: We report a retrospective monocentric series of 14 cases of genital self-mutilation (penis and testicles), collected from January 2000 to May 2019.
Article Synopsis
- The study reviews literature on preserving fertility in patients with testicular injuries that threaten fertility.
- The authors performed a comprehensive search of medical databases to identify effective fertility-preserving techniques following testicular trauma.
- They found that procedures like testicular sperm extraction and testicular replantation had some success, but challenges like prolonged injury time negatively impacted outcomes; urologists are encouraged to consider and offer fertility preservation options in these situations.
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