Format

Send to

Choose Destination
See comment in PubMed Commons below
Urology. 2004 May;63(5):981-3.

Leech therapy in penile replantation: a case of recurrent penile self-amputation.

Author information

1
Division of Urology, Department of Surgery, University of Texas Medical Branch at Galveston, Galveston, Texas 77550-0540, USA.

Abstract

Penile amputation is a rare urologic trauma for which immediate surgical replantation is indicated. Microsurgical techniques can reduce skin and graft loss complications; nonetheless, such complications are still highly prevalent. We report a case of self-inflicted penile amputation and describe a nonmicrosurgical technique for replantation. To improve postoperative edema due to venous congestion, we applied medicinal leeches to the penis. The edema quickly resolved, but overlying skin loss occurred, which required superficial debridement. At follow-up the patient had glans re-epithelialization with normal voiding, sensation, and erections. To our knowledge, this is the first reported case of nonmicrosurgical penile replantation with leech therapy.

PMID:
15134999
DOI:
10.1016/j.urology.2004.01.019
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center