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

Michael Mineo, Tracie Koen, Gabriel Rodriguez

Research output: Contribution to journalArticle

24 Scopus citations

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.

Original languageEnglish (US)
JournalUrology
Volume63
Issue number5
DOIs
StatePublished - Jan 1 2004

ASJC Scopus subject areas

  • Urology

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