Successful replantation of self-amputated penis using microvascular repair resulting in restoration of voiding and erectile function

Abstract

Intentional self-amputation of the penis is rarely encountered and usually occurs in the context of an underlying psychiatric illness. We report the case of a 42-year-old male who intentionally amputated his penis, both testicles, and a large portion of the scrotum en bloc using garden shears. Microscopic and macroscopic replantation of the penis was undertaken, resulting in restoration of normal urinary function and moderate erectile function.

Keywords

• Penile amputation
• Reconstructive urology
• Trauma