Penile amputation: Difference between revisions
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==Management== | ==Management== | ||
*Amputated part should be placed in a sterile bag after wrapped in wet saline gauze, then place in another bag submerged in ice and tap water. | *Amputated part should be placed in a sterile bag after wrapped in wet saline gauze, then place in another bag submerged in ice and tap water<ref>Chang AJ and Brandes SB. Advances in diagnosis and management of genital injuries. Urol Clin North Am. 2013; 40:427-438.</ref> | ||
**DO NOT submerge in saline and ice since freezing point will be higher | **DO NOT submerge in saline and ice since freezing point will be higher | ||
*Surgical options include<ref>Jezior JR, et al. Management of penile amputation injuries. World J Surg. 2011; 25:1602-1609.</ref>: | |||
**Reimplantation of the appendage | |||
**Closure of the remaining stump | |||
**Delayed phallic replacement or reconstruction after healing | |||
==Disposition== | ==Disposition== | ||
Revision as of 02:07, 2 March 2015
Background
- Majority are self inflicted, related to mental illness
- Blood loss seldom life-threatening
- Surgical emergency
Clinical Features
Differential Diagnosis
Penile trauma types
Workup
Management
- Amputated part should be placed in a sterile bag after wrapped in wet saline gauze, then place in another bag submerged in ice and tap water[1]
- DO NOT submerge in saline and ice since freezing point will be higher
- Surgical options include[2]:
- Reimplantation of the appendage
- Closure of the remaining stump
- Delayed phallic replacement or reconstruction after healing