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

Francesco De Luca, Giulio Garaffa, Angela Maurizi, Emy Manzi, Carlo De Dominicis, David Ralph
  • Francesco De Luca
    Department of Gynaecological and Urological Sciences, Sapienza University of Rome, Rome; Department of Urology Azienda Ospedaliera San Camillo Forlanini, Rome, Italy | francescodeluca10@gmail.com
  • Giulio Garaffa
    St. Peter's Andrology and the Institute of Urology, University College London Hospitals, London, United Kingdom
  • Angela Maurizi
    Department of Gynaecological and Urological Sciences, Sapienza University of Rome, Rome, Italy
  • Emy Manzi
    Department of Surgery P. Stefanini, Sapienza University of Rome, Rome, Italy
  • Carlo De Dominicis
    Department of Gynaecological and Urological Sciences, Sapienza University of Rome, Rome, Italy
  • David Ralph
    St. Peter's Andrology and the Institute of Urology, University College London Hospitals, London, United Kingdom

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.

Keywords

Penis; Animal bite; Phalloplasty; Male genital trauma

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Submitted: 2017-03-06 19:56:39
Published: 2017-06-30 00:00:00
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Copyright (c) 2017 Francesco De Luca, Giulio Garaffa, Angela Maurizi, Emy Manzi, Carlo De Dominicis, David Ralph

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