20-Year Experience With Iatrogenic Penile Injury

Abstract

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.

Surgical management of penile amputation in children

“…This observation is in keeping with previous reports in the literature [3,7], and in all our cases, we managed to achieve penile augmentation by deep mobilization and advancement of the residual erectile tissue. This can be accomplished by sectioning the suspensory ligament or by complete detachment of the corpora for the pubic bones as described by Kelly [8].…”

“…In most of the cases, it is iatrogenic in origin and follows procedures such as circumcision, hypospadias surgery, or neonatal primary repair of bladder exstrophy; noniatrogenic causes include child abuse, traffic accidents, and animal attacks [1][2][3].…”

Aesthetic aspects of abdominal wall and external genital reconstructive surgery in bladder exstrophy-epispadias complex

“…This devastating complication can be attributed to disruption of normal vascular supply and in all likelihood is related to surgical inexperience. Genital losses have been reported after other types of epispadias exstrophy repair [63].…”

Penile Gangrene with Abscess Formation after Modified Al-Ghorab Shunt for Idiopathic Ischemic Priapism

“…It is a known sequela of severe systemic vascular disease and a rare consequence of surgical intervention for hypospadias repair and priapism shunts [1]. There is little mention of this complication following surgical correction of priapism in the recent literature, as the majority of literature on postoperative penile gangrene dates back to the 1970s and 1980s [2].…”