Penis amputations are rare emergencies which require microsurgical replantation. Despite its apparent failure, we believe this technique may be valuable to surgeons who might encounter this rare event in their surgical practice, especially in resource limited settings like ours.Ĭontext and objectives. The vasodilatory effect of papaverine for vascular anastomosis is well described, but the use of a paediatric cannula for identification and instillation of papaverine into penile vasculature, has not been described for the repair of penile amputation. Replantation of an amputated penis in a pediatric patient is a daunting task even for experienced surgeons.

Unfortunately, by day 12 two thirds of the re-implanted penis was lost along with overlying skin. Papaverine aided microsurgical replantation of the severed part was performed, but by 48 h, the glans became discoloured and necrosis set in by 4 days. Herein, we report the case of a 9 year old boy who underwent replantation of his amputated penis with delayed failure of the surgery, along with a discussion of recent advances in the management of this condition.Ī 9-year-old boy was referred to our hospital for traumatic amputation of the penis. Although repair techniques have been well described in literature, failure of replantation and its causes are poorly understood and reported. Traumatic amputation of the penis is a rare surgical emergency.

Total amputation of penis by zaw myint