Penile amputation and successful reattachment and the role of winter shunt in postoperative viability: A case report and literature review

Authors

  • Michael Fuoco Queen's University
  • Leonard Cox Victoria General Hospital
  • Thomas Kinahan Kelowna General Hospital

DOI:

https://doi.org/10.5489/cuaj.2522

Keywords:

Penile amputation, Penile replantation

Abstract

Traumatic self-amputation of the penis by a psychotic patient is rare. Microvascular replantation is the favored management approach. There are no known cases of self-amputation followed by ingestion of the stump and subsequent replantation. A 51-yearold patient with paranoid schizophrenia presented 2 hours following penile amputation. He had swallowed the excised portion, which was endoscopically retrieved from the stomach in the emergency department. Successful reattachment was achieved including microvascular repair of the dorsal penile arteries without cavernosal arterial anastamoses. A Winter’s shunt was performed to improve venous circulation. The patient has been followed for 3 years from the date of repair. He has adequate erection for intercourse and good urinary function, but has experienced sensory loss over the dorsal aspect and glans and urethral stricture dilation. This is the first report of replantation following ingestion of an amputated penis.

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Author Biography

Michael Fuoco, Queen's University

PGY 5 Resident

Department of Urology, Queen's University

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Published

2015-05-13

How to Cite

Fuoco, M., Cox, L., & Kinahan, T. (2015). Penile amputation and successful reattachment and the role of winter shunt in postoperative viability: A case report and literature review. Canadian Urological Association Journal, 9(5-6), E297–9. https://doi.org/10.5489/cuaj.2522

Issue

Vol. 9 No. 5-6 (2015): CUAJ May

Section

Case Report

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