Microsurgical Replantation of Sexual Organs in Three Patients

Abstract

Microsurgical reconstruction of penis and testes with the use of vessel grafts prolonged the hypoxia which led to necrosis. Disturbances in vein blood outflow from the sutured organs contributed to this process as well. The third case resulted in success mostly due to quick intervention (5 h from injury) as well as to proper microsurgical reconstruction of vessels, nerves, and urethra. In addition suprapubic urine diversion was successfully applied and the urethra healed on the perforated catheter. Routine antibiotics as well as antithrombotic prophylactics were administered in all of the 3 cases.

Penis Allotransplantation in Beagle Dog

“…Similar to limbs, the penis consists of skin, blood vessels, nerves, cavernous bodies, albuginea, and urethral mucosa, making penile transplantation a composite tissue transplantation [ 14 ], and the rejection reactions are usually more serious than in single organ transplantation [ 15 , 16 ]. Results from animal studies have shown that penis autotransplantations had a high success rate; however, allogeneic penis transplantation still remains a challenge for clinicians [ 17 , 18 ]. Penis defects do not endanger the life of the patients but cause profound psychological problems that greatly affect the patients' quality of life.…”