An unusually avulsed penis successfully replanted by using microsurgical technique.

Abstract

An unusually avulsed penis and its successful microsurgical replantation is reported. The penis was self-avulsed between the superficial fascia of the shaft, and the shaft was cut distally, just proximal to the glans, with the whole glans and a short part of the shaft hanging in the avulsed skin of the penis. According to our search in the literature, this is the first successful replantation of such a case by microsurgery. The blood circulation of the replant was reestablished, after 15 hours of tissue ischemia, by means of microsurgical vascular anastomosing of the minimal subcutaneous vessels in the skin. Both the skin and the glans survived, indicating the alternative possibility of replantation of avulsed penile skin by microsurgery, rather than by skin grafting.