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The patient had a penis sewn almost a day after organ damage
Penile replantation or re-engraftment is a very rare operation. An important condition for its success is the earliest possible start.
In the UK, surgeons successfully sewn on a man's penis, whose injury occurred almost a day before surgery. BMJ Case Reports told about a unique case.
Replantation or re-engraftment of the penis is a very rare operation, about 100 of them have been performed. This is an urgent procedure that requires a high level of training of microsurgeons. An important condition for its success is the earliest possible start. Previously, there was a case of engraftment of the penis 18 hours after injury. The likelihood of a good outcome within 24 hours was considered very low.
Surgeons from Birmingham performed penile replantation almost 24 hours after injury. The patient was a 34-year-old male with a history of paranoid schizophrenia. He injured himself by trying to take his own life during a psychotic episode. The damage became known 15 hours later, but doctors were able to start the operation only after resuscitation and treatment of more severe wounds. The total time without blood flow in the patient's penis was 23 hours.
The large vessels providing blood circulation in the penis were in good condition in the patient, but one of the large nerves of the organ could not be saved.
Six weeks after the operation, the patient's urethra worked, the penis returned to sensitivity, and he is able to achieve a full erection.
“The success of this case should stimulate surgeons to carry out penile replantations even after prolonged ischemia, since a successful outcome is possible. You should also remember about the severe physical and psychological consequences of organ loss,”the scientists write.