UNIVERSITAS AIRLANGGA



Detail Article

Jurnal Urologi Universitas Airlangga

ISSN 23026480

Vol. 2 / No. 2 / Published : 2014-02

Order : 5, and page :5 - 5

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Original Article :

Amputasi penis

Author :

  1. Arley Sadra Telussa*1
  2. Prof. DR. dr. Soetojo, SpU *2
  1. Mahasiswa Fakultas Kedokteran
  2. Dosen Fakultas Kedokteran

Abstract :

Objective: to present a case of self genital amputation/penetrating penile trauma grade IV according to American Association for the Surgery of Trauma (AAST) classification in schizophrenic patient and review the relevant literature Methods: A case report. First case: Male, 42 years old, a schizophenic patient, was diagnosed with self genital amputation/penetrating penile trauma grade IV according to American Association for the Surgery of Trauma (AAST) classification. From penile exploration we found 2 cm long partial rupture of urethra pars pendulare; circular vulnus scizuum at the shaft of the penis as deep as tunica albuginea and vulnus scizuum at the base of the penis. Twelve hours after the event we performed macrosurgical end-to-end approximation and urethroplasty with the involvement of Psychiatric Department for addressing patient mental status postoperatively. Second case:  Male, 7 years old, had a penile amputation upon circumcision. From penile exploration we found penile amputation at sulcus coronarius (AAST grade V) and the penile stump was not pack properly. Fourty five minutes after the event  we performed macrosurgical urethroplasty and microsurgical replantation of dorsalis penis artery, vein, and nerve. Result: From the first case we obtained very good cosmetic and functional results with no micturition impairment. From the second case, penile stump became necrotik and we had to performed debridement and necrotomy to remove the penile stump. Conclusion: Penile amputation is an uncommon condition that requires immediate surgical replantation. Routine standardized procedures for dealing with this medical condition has not been establish yet. A macrovascular technique is recommended, as it can be performed in any general hospital with an acceptable result.

Keyword :

Amputation, Penis, Schizophrenia, Circumcision,


References :

1. McAninch JW,(2008) Injuries to the Genitourinary Tract no data : McGraw Hill

2. Jordan GH,(2007) Management of Penile Amputation Berlin : Springer-Verlag

3. Santucci RA, Bartley JM,(2010) Urologic Trauma Guidelines no data : MedscapeCME

4. Tasian GE, Bagga HS et al,(2013) Pediatric Genitourinary Injuries in the United States from 2002 to 2010 no data : The Journal of Urology

5. Morey AF, Dugi DD,(2012) Genital and Lower Urinary Tract Trauma Philadelphia : Elsevier-Saunders

6. The Royal Australian College of Physician Paediatrics and Child Health Division,(2010) Circumcision of Infant Males no data : no data

7. Sahin C, Toraman AR, Kalkan M,(2011) Complications of Circumcision, Our Experiences Over the Last 15 Years no data : Eur J Gen Med

8. Faydaci G, Ugur K et al,(2011) Amputation of Glans Penis: a Rare Circumcision Complication and Succesful Management with Primary Anastomosis and Hyperbaric Oxygen Therapy no data : Korean J Urol





Archive Article

Cover Media Content

Volume : 2 / No. : 2 / Pub. : 2014-02
  1. Incidence Of Bladder Stone Revised Stone Analysis And Pathology January 2006 - December 2010 Period At Dr. Soetomo Hospital
  2. Ureteral Trauma Profile In Soetomo Hospital January 2006 – December 2011
  3. Profil Hipospadia Di Rsud Dr. Kanujoso Djatiwibowo Balikpapan Juli 2009 – Juni 2011
  4. Ureteral Injury From External Trauma: Missed Diagnosis Despite Extensive Initial Radiologic Investigation
  5. Amputasi Penis
  6. Pola Ph Urin, Leukosituria, Nitrituria Dan Kultur Urin Pada Batu Saluran Kemih Dengan Infeksi Di Smf Urologi Rsud Dr. Soetomo Pada Tahun 2013

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