He asked a nurse for a plastic Ziploc bag, the transparent type used to transport laboratory specimens. He had something to show them — something that required careful storage. He remembered a nurse trying to comfort him.
Correspondence Address : Dr. Penile amputation PA is a rare genitourinary injury. Three main etiologies of PA consist of iatrogenic, accidental, and self-mutilation.
In ancient civilizationsthe removal of the human penis was sometimes used to demonstrate superiority or dominance over an enemy. Armies were sometimes known to sever the penises of their enemies to count the dead, as well as for trophies. The practice of castration removal of the testicles sometimes involved the removal of all or part of the penis, generally with a tube inserted to keep the urethra open for urination.
Traumatic penile amputation is a serious urological emergency, although rare whenever it happens, there is a need to refer the patient early to urologist within 24 h, with the stump wrapped in saline; unfortunately, our patient presented late and as such could not benefit from penile reimplantation. Penile amputation can be devastating to the patient, his spouse, and his relatives, and very tasking to the urologist, especially when the patient requires reimplantation of the penis and the stump was brought late after 24 h, and unpreserved, as is the case of our patient. The blood loss can be severe requiring resuscitation with intravenous fluids, and blood transfusion may be necessary in some patients.
Physical medicine and rehabilitation. Amputation is the removal of a limb by traumamedical illnessor surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene.
Penile strangulation caused by a thread or human hair is an uncommon cause of urethral injury described in paediatric piactice. Three children had uneventful recoveries after removal of the contricting agent. Two patients developed urethrocutaneaus fistulae and partial amputation of the penis because of late presentation Early recognition and removal of the constricting agent is necessary to prevent serious complications JPMA
Self-mutilations of the external genitals in psychiatric patients also known as Klingsor syndrome is a rare urologic trauma. Men with religious conflicts, low self-esteem, unresolved transsexual issues and feelings of guilt are the most vulnerable. This condition requires immediate surgical intervention. Currently replantation involves meticulous microsurgery and has become the primary method for managing these patients.
A bout once per decade, the medical profession takes a careful look back at Thailand's plethora of penile amputations. The first great reckoning appeared in a issue of the American Journal of Surgery. Surgical Management of an Epidemic of Penile Amputations in Siamby Kasian Bhanganada and four fellow physicians at Siriraj Hospital in Bangkok, introduces the subject: "It became fashionable in the decade after for the humiliated Thai wife to wait until her [philandering] husband fell asleep so that she could quickly sever his penis with a kitchen knife.
A Connecticut man accused of rape was acquitted after employing an unusual defence tactic: dropping his pants in court and showing his penis to the jury. Inthe woman identified her rapist as Desmond James after seeing his picture in a news report. It was probably the strongest piece of evidence that we could offer.