Automutilation des organes génitaux externes chez l’homme

Mawuko-Gadosseh, Yawo; Mayele, M.; Gallouo, M.; Graiouid, Mehdi; Dakir, Mohamed; Debbagh, Adil; Aboutaieb, Rachid

doi:10.1016/j.purol.2020.01.002

Cited by 6 publications

(2 citation statements)

References 11 publications

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“…The main goals in re-implantation of the penis are to restore the direct flow of urine, as well as correcting the impotence and giving a satisfactory aesthetic appearance for patients 23 - 25 . In this patient, about three weeks after the surgery, the urinary catheter was removed after Retro Urethrogram results showed complete recovery without stricture or emptying disorder.…”

Section: Discussionmentioning

confidence: 99%

Successful Microsurgical Replantation of Amputated Penis: A Case Report and Review of Literature

Akhoondinasab,

Farahmand,

Zahedi

et al. 2023

WJPS

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This study aims to explain microscopic replantation in a rare case of a wholly amputated penis after prolonged ischemia. A 36-year-old patient underwent microscopic replantation of the penis after 9 hours. The penis was completely amputated due to self-mutilation. Microvascular replantation was performed after pre-operative preparation. On the second day after surgery, congestion was observed in the penis, and three sessions of leech therapy were conducted each time the leeches were placed for 30 minutes and then detached by themselves. The patient was referred to a psychiatrist to continue treatment after discharge from the hospital. Penile amputation is a rare situation and has different causes. There are various treatments to repair the amputated penis, which are both microvascular and microvascular. The microsurgery methods have shown the best results. In the present case, due to microsurgical artery repair and the early start of leech therapy, there was limited and predictable necrosis in the area of the penoscrotal junction flap, which underwent debridement and skin graft. Complete amputation of the penis is a rare phenomenon. Efforts should be made to perform the replantation surgery as soon as possible. The venous outflow is an essential factor in the success of penile re-implantation, and completely restored vascular and sensory function in this case. Early initiation of psychological care to control underlying disease leads to further cooperation of the patient to handle complications and avoid the recurrence of self-injury.

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Section: Discussionmentioning

confidence: 99%

Successful Microsurgical Replantation of Amputated Penis: A Case Report and Review of Literature

Akhoondinasab,

Farahmand,

Zahedi

et al. 2023

WJPS

View full text Add to dashboard Cite

show abstract

“…Minor or benign self-mutilation behaviors like nail pitting or hair pulling are common. However, severe cases are rare and usually associated with unusual congenital, hereditary, or psychiatric disorders [9][10][11].…”

Section: Discussionmentioning

confidence: 99%