Penile amputation

Background

Penis anatomy

The human male urethra laid open on its anterior (upper) surface.

Transverse section of the penis.

• Majority are self inflicted, related to mental illness
• Blood loss seldom life-threatening
• Surgical emergency

Differential Diagnosis

Penile trauma types

• Penile amputation
• Penile contusion
• Penile fracture
• Traumatic epididymitis
• Zipper injury to penis

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
  • DO NOT submerge in saline and ice since freezing point will be higher
• Surgical options include:
  • Reimplantation of the appendage
  • Closure of the remaining stump
  • Delayed phallic replacement or reconstruction after healing

See Also

• Amputation
• Penile trauma