| 摘要 |
Microsurgical repair of the amputated penis dates back to 1977 with two independent reports of successful microsurgical replantation by Cohen and Tamai. The use of the microscope allows a more exact repair of penile structures and substantially reduces complications such as skin loss, urethral fistula / stricture, insensitivity, and inability to achieve erection. However, there is currently no consensus regarding which structures are vital or necessary for a successful repair. We present a case of microsurgical penile replantation complicated with skin loss, urethral stricture, and poor sensation of the glans. Through retrospective review of this case and previous literatures, we concluded that careful anastomosis of (1)tunica albuginea (2) dorsal artery (3) all levels of venous drainage and (4) paired cutaneous nerves are vital in reducing the complications. |
