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Total phallic reconstruction after penile amputation for donkey bite: Case report and review of the literature

De Luca, F; Garaffa, G; Maurizi, A; Manzi, E; De Dominicis, C; Ralph, D; (2017) Total phallic reconstruction after penile amputation for donkey bite: Case report and review of the literature. Archivio Italiano di Urologia e Andrologia , 89 (2) p. 166. 10.4081/aiua.2017.2.166. Green open access

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Abstract

There are very few reported cases of traumatic amputation of the male genitalia due to animal bite. The management involves thorough washout of the wounds, debridement, antibiotic prophylaxis, tetanus and rabies immunization followed by immediate reconstruction or primary wound closure with delayed reconstruction, when immediate reconstruction is not feasible. When immediate reconstruction is not feasible, long-term good functional and cosmetic results are still possible in the majority of cases by performing total phallic reconstruction. In particular, it is now possible to fashion a cosmetically acceptable sensate phallus with incorporated neourethra, to allow the patient to void while standing and to ejaculate, and with enough bulk to allow the insertion of a penile prosthesis to guarantee the rigidity necessary to engage in penetrative sexual intercourse.

Type: Article
Title: Total phallic reconstruction after penile amputation for donkey bite: Case report and review of the literature
Open access status: An open access version is available from UCL Discovery
DOI: 10.4081/aiua.2017.2.166
Publisher version: http://dx.doi.org/10.4081/aiua.2017.2.166
Language: English
Additional information: Copyright © 2017 Francesco De Luca, Giulio Garaffa, Angela Maurizi, Emy Manzi, Carlo De Dominicis, David Ralph. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/).
Keywords: Penis; Animal bite; Phalloplasty; Male genital trauma
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
URI: https://discovery.ucl.ac.uk/id/eprint/10033980
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