XXXX and successful reattachment and the role of winter shunt in postoperative viability: A case report and literature review.

@entity1 @entity384 @entity161 @entity716 @entity546 @entity9
Traumatic self-amputation of the penis by a @entity716 @entity1 is rare. Microvascular replantation is the favored management approach. There are no known cases of self-amputation followed by @entity9 and subsequent replantation. A 51-year-old @entity1 with paranoid @entity161 presented 2 hours following @entity546 . He had swallowed the excised portion, which was endoscopically retrieved from the stomach in the emergency department. Successful reattachment was achieved including microvascular repair of the dorsal penile arteries without cavernosal arterial anastamoses. A Winter's shunt was performed to improve venous circulation. The @entity1 has been followed for 3 years from the date of repair. He has adequate erection for intercourse and good urinary function, but has experienced sensory loss over the dorsal aspect and glans and @entity384 . This is the first report of replantation following ingestion of an amputated penis.
