Maimaitiming ABLT, Mulati YLSD, Apizi ART, Li XD. Self-strangulation induced penile partial amputation: A case report. World J Clin Cases 2023; 11(22): 5373-5381 [PMID: 37621600 DOI: 10.12998/wjcc.v11.i22.5373]
Corresponding Author of This Article
Xiao-Dong Li, MD, Associate Chief Physician, Department of Urology, The First Affiliated Hospital of Xinjiang Medical University, Xinjiang Clinical Research Center for Genitourinary System, No. 137 Liyushan South Road, Urumqi 830011, Xinjiang Uygur Autonomous Region, China. lxd705@163.com
Research Domain of This Article
Andrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 6, 2023; 11(22): 5373-5381 Published online Aug 6, 2023. doi: 10.12998/wjcc.v11.i22.5373
Self-strangulation induced penile partial amputation: A case report
A-Bu-Lai-Ti Maimaitiming, Ye-Li-Su-Dan Mulati, Ai-Re-Ti Apizi, Xiao-Dong Li
A-Bu-Lai-Ti Maimaitiming, Ye-Li-Su-Dan Mulati, Ai-Re-Ti Apizi, Xiao-Dong Li, Department of Urology, The First Affiliated Hospital of Xinjiang Medical University, Xinjiang Clinical Research Center for Genitourinary System, Urumqi 830011, Xinjiang Uygur Autonomous Region, China
Author contributions: Maimaitiming ABLT and Mulati YLSD contribute equally; Maimaitiming ABLT and Mulati YLSD contributed to manuscript writing and editing, data collection and data analysis; Apizi ART and Li XD contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Supported byNatural Science Foundation of the Xinjiang Uygur Autonomous Region from The First Affiliated Hospital of Xinjiang Medical University, No. 2022D01C782.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Dong Li, MD, Associate Chief Physician, Department of Urology, The First Affiliated Hospital of Xinjiang Medical University, Xinjiang Clinical Research Center for Genitourinary System, No. 137 Liyushan South Road, Urumqi 830011, Xinjiang Uygur Autonomous Region, China. lxd705@163.com
Received: April 26, 2023 Peer-review started: April 26, 2023 First decision: June 12, 2023 Revised: June 20, 2023 Accepted: July 17, 2023 Article in press: July 17, 2023 Published online: August 6, 2023
Abstract
BACKGROUND
Traumatic amputation of the penis is a rare surgical emergency, usually caused by self-mutilation, accidents, circumcision, assault and animal attacks. This study aimed to summarize our treatment experience involving penile reconstruction in a rare case of a self-strangulation induced chronical penile partial amputation.
CASE SUMMARY
A 22-year-old man presented with self-strangulation induced chronical penile partial amputation for 3 mo where the penile proximal part was 1 cm far from the pubis. Reconstruction methods included end-to-end anastomosis of the urethral mucosa, proximal anastomosis of the corpus cavernosum and tunica albuginea of the penis, anastomosis of the deep dorsal vein, dorsal artery, and superficial dorsal vein. Patient urinated smoothly after the catheter was removed on day 21. 3 mo after the surgery, the patient's penile preliminary cosmetic appearance was satisfactory, with occasional morning erections. Distal penile sensation was preserved, yet erection hardness of the distal penis was not satisfactory.
CONCLUSION
Complete preoperative assessment and prompt surgical intervention decreases loss of residual penile functions.
Core Tip: We report a rare case of penile partial amputation. Through complete preoperative evaluation and appropriate surgical management, the patient's penile urination and erectile function were preserved. At the same time, the importance of psychological intervention on the rehabilitation of patients with self-injury was further discussed.
