外伤性的险茎截断極為罕见,多因心智不正常的自残行為或夫妻或勃谿而起的报復行動。自1970代,成功地以顯微手術接合,在在顯示可完全恢復泌尿及性功能。本病例截肢缺氧時間爲22小時,爲目前文献中所僅见。除了術前患者的心理因素及患處評估外,手術的過程、術後的照顾及截肢後的感覺,勃起功能,本文将一併討論。
Replantation of a penis with microsurgical repair of vessels and nerves can restore normal genitourinary function. A case was presented for the amputated penis which had ischemic time of 22 hours before revascularization. In addition to preoperative evaluation, operative technique and postoperative management, sensation and erectile function are to be discussed.