Korean J Androl.
1998 Jun;16(1):99-102.
Penile and Bilateral Testicular Replantation After Self-inflicted Complete Amputation: Case Report
- Affiliations
-
- 1Department of Urology, College of Medicine, Kosin University, Pusan, Korea.
- 2Department of General Surgery, College of Medicine, Kosin University, Pusan, Korea.
Abstract
- Self emasculation, defined as autocastration, penile amputation, dr both, is the end result of an unusual psychiatric disorder that falls into the category of self-mutilation, A case of penile and bilateral testicular replantation is reported in which a 25-year-old man suffered a self-inflicted complete penile and bilateral testicular amputation. Replantation of the penis was successful; 2 months after surgery, a urethrogram demonstrated no evidence of urethral stricture, and color duplex ultrasonography showed good blood flow intoboth dorsal arteries and deep dorsal to the amputation site. Although complete erection has not been obtained, no other functional impairments have been encountered in the 4 months since replantation. It was hoped that the testicles would function as a true endocrine organ. Unfortunately, the tissue did not remain viable and was replaced by fibrous tissue. Therefore, he has been given supplementary testosterone.
