PMC7683284_01
Subtotal cut of the penis. The penis remained suspended by only a thin ventral part of the penile skin (blue arrow).
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The penis remained suspended by only a thin ventral part of the penile skin (Fig. 1).
A) The partial-thickness wound with a relatively well-defined traumatic separation of tissue on the dorsal of the penis. B) The defect of the bulbous urethra.
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A careful assessment on the penile wound revealed a partial-thickness wound with a relatively well-defined traumatic separation of tissues on the dorsal of the penis, one that crossed the base of the penis and was in fact formed by two incised wounds (Fig. 2A). The transection of the corpus cavernosum and corpus spongiosum was discovered along with a 1-cm defect of the bulbous urethra (Fig. 2B).
A) Debridement was performed, and the wound edge was refreshed. B). The corpus cavernosum and urethral defect were repaired. C) Deep and superficial fascia were reapproximated. D) The surgical site after interrupted skin suture had two Penrose drains left inside.
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We (i.e., a urologic surgeon and general surgery resident) performed a debridement procedure and refreshed the wound edge (Fig. 3A). The corpus cavernosum was re-anastomosed with an interrupted suture using absorbable polyglactin 5/0 (Fig. 3B). After deep (Buck's) and superficial (Dartos) fascia were reapproximated (Fig. 3C), the operation was finished with another interrupted suture of the skin. A Penrose drain was left on each of the right and left sides of the wound (Fig. 3D).
The surgical wound recovered well, and the penis remained viable.
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His surgical wound had recovered well, and neither skin necrosis nor infection was observed (Fig. 4).