Self‐penile glans amputation: a report of two cases

Abstract

CaseSelf‐penile amputation, especially at the glans, has rarely been reported. Most reported cases of self‐amputation were performed at the proximal or peripubic area, and there only one case of self‐amputation at the glans has been reported in Japan. We report two cases of self‐penile amputation at the glans. Case 1: A 31‐year‐old man with no psychiatric disease completely amputated his penis at the glans. He underwent a stump plasty under spinal anesthesia. Case 2: A 46‐year‐old man with schizophrenia amputated his penis at the glans. Surgery and the post‐surgical course were almost the same as described in Case 1.OutcomeBoth patients experienced few functional problems except for slight urinary stream disorders.ConclusionA stump plasty is a good procedure to treat self‐penile amputation at the glans. It is simple, quick, does not require special technical skills, and is not associated with serious complications.

Self-penile amputation: A case of Klingsor Syndrome

“…Anatomically, penile amputation can be peri-pubic like in our case, proximal part of the penis or at the level of the glans. 1 …”

“… 5 For glans amputation only, there is documented good sexual function and minimal urinary complications following stump-plasty. 1 This is because glans amputation spares the corpus carvenosum and involves the corpus spongiosum only. Total phallic reconstruction is often used for cancer-related amputations and in instances where re-plantation is not possible, as it was in our case above.…”

Unusual Mechanisms of Penile Amputation

“…In the setting of distal penile amputation involving only the glans, situations where vasculature cannot be identi ed or when instrumentation for microscopic surgery is not available, macroscopic replantation may be the only reconstructive option besides completion of a stump plasty [2,12]. Amputation of only the glans is less common than more proximal amputations with one study citing glans amputations at 3.7% of total amputations [13]. Two adult cases of amputation at the glans, reported by Terayama et al, were repaired with stump plasty and experienced minimal postoperative complications.…”

“…Normal urinary function, erectile function, and ability to have intercourse were ultimately achieved with one brief episode of urinary di culty. One patient had reduced frequency of intercourse due to the shorter phallus causing an inferiority complex [13].…”

Posttraumatic Penile Replantation with Minimal Skin Necrosis

“…Individual cases of penile replantation, although relatively rare, are well represented within the urology and plastic surgery literature. [1][2][3][4][5] Published reports have typically focused on a technical or anatomic aspect unique to each case. 6 To our knowledge, this is the first case report to address the technical issue of concomitant loss of artery, vein, and nerve length secondary to the method of amputation or the need for intraoperative debridement.…”