TITLE:
Partial Amputation of the Penis with Total Rupture of the Urethra: About a Case in the Urology Department of the Bonamoussadi District Medical Center
AUTHORS:
Fred Dikongue Dikongue, Boris Amougou, Omam Merlin Mbamba, Fondop Joseph, Faustin Atemkeng, Chichom Mefire Alain
KEYWORDS:
Penis, Partial Amputation, Uretroplasty, Penoplasty, Flap, Bonamoussadi Subdivisional Health Center
JOURNAL NAME:
Surgical Science,
Vol.14 No.7,
July
25,
2023
ABSTRACT: Penis amputations are rare,
they are most often observed in a criminal context or in the context of self-mutilation.
We present the case of a partial amputation of the shaft in the context of a
domestic accident. This is a 53-year-old patient received in the emergency
department for partial amputation of the penis occurred, whose mechanism of
occurrence would be the fall of a sheet metal from the roof of his house, with
reception on the proximal end of the shaft leading to a partial rupture of it—here,
with total urethral section. He has no medical-surgical history. The
physical examination finds a good general condition, a partial tearing of the
ventral face of the penis associated with a total rupture of the urethra
followed by a hemorrhage, the rest of the examination was without
particularity. The emergency assessment carried out was without particularity.
The treatment consisted initially of catheterizing the urethra by a urinary
tube ch 20, then a urethral replacement, followed by a
Peno plastie. The surgical suites were enamelled with parietal
suppuration plus necrosis at J 14 post-operative.
A more bidaily dressing debridement followed with a favorable evolution at 2
months. Subsequently, a penile graft was performed more urethrolastic, with
removal of the flap on the inner side of the thigh, the surgical suites were
favorable on the sexual plane gradual
resumption of night erections.