PMC7542248_01
A: Penile amputation upon arrival to the emergency department.
B: Wound exploration revealed cavernosal and spongiosal body rupture and allowed identification of deep penile arteries and superficial deep dorsal vein.
C: Post-surgical evaluation at five days.
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Although compression was immediately performed on the wound, bleeding still persisted ( Figure 1A). The surgery was completed within two hours and 15 minutes with total ischemia time of nine hours ( Figures 1B and 1C).
Post-surgical evaluation study at the fifth day with Doppler ultrasound showed adequate deep and superficial arterial flow at the distal end of the penis.
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On the fifth day post-surgery, the patient was discharged without urethral catheter following spontaneous micturition without difficulty in voiding ( Figure 2).