PMC6949675_01
(a) The gaping perineal wound while lying in lithotomy position status post penectomy. A Foley catheter was inserted into the urethral stump. (b) Anterior view of perineal wound showing near complete amputation of the phallus.
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fig1
The patient suffered avulsion of his penis, scrotum, and testicles along with sustaining gaping perineal and left lower extremity wounds (Figure 1).
PMC6949675_02
(a) The amputated glans. (b) The phallus proximal to the amputation.
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fig2
Patient two is a 12-year-old male who presented to the emergency department (ED) after his glans had been bitten off by an English bulldog (Figure 2).
(a) Replantation of glans with suprapubic cystostomy tube. (b) Postoperative week ten with suprapubic and urethral catheters removed.
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fig3
Mild superficial glans necrosis was noted two weeks postoperatively (Figure 3(a)) but the majority of the glans remained viable (Figure 3(b)). He was taken back to the operating room for placement of a 12 Fr suprapubic catheter and upsizing of his transurethral Foley catheter to 14 Fr to alleviate urinary retention and UTIs (Figure 3(a)).