A unique case of secondary microvascular glansplasty: the last genitoreconstructive frontier?

Isolated amputation of the noncarcinogenic penile glans is an extremely rare event. Immediate replantation as a composite graft or by microvascular techniques is the treatment of choice. Secondary reconstruction of the penile glans may be indicated after necrosis as a sequela of infection, surgical...

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Bibliographic Details
Published inAnnals of plastic surgery Vol. 45; no. 4; p. 422
Main Author Hage, J J
Format Journal Article
LanguageEnglish
Published United States 01.10.2000
Subjects
Adult
Amputation, Traumatic - surgery
Humans
Male
Microsurgery
Penis - injuries
Penis - surgery
Reconstructive Surgical Procedures
Self Mutilation - surgery
Surgical Flaps
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Summary:Isolated amputation of the noncarcinogenic penile glans is an extremely rare event. Immediate replantation as a composite graft or by microvascular techniques is the treatment of choice. Secondary reconstruction of the penile glans may be indicated after necrosis as a sequela of infection, surgical resection for malignancy, traumatic loss, and self-mutilation. To date, reported surgical techniques of glanular reconstruction have only been described as part of total phalloplasty. Secondary reconstruction of the penile glans using a sensate radial forearm free flap was performed in a 28-year-old man who presented 3 years after self-amputation in a psychotic state.
ISSN:0148-7043
DOI:10.1097/00000637-200045040-00012