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Partial Amputation of the Penis with Total Rupture of the Urethra: About a Case in the Urology Department of the Bonamoussadi District Medical Center

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Surgical Science 2023年第7期14卷 496-501页

作者： Fred Dikongue Dikongue Boris Amougou Omam Merlin Mbamba Fondop Joseph Faustin Atemkeng Chichom Mefire Alain Department of Surgery and Specialties Faculty of Medicine and Pharmaceutical Sciences University of Dschang Dschang Cameroon Bonamoussadi District Medical Center Douala Cameroon Yaoundé Emergency Center Yaoundé Cameroon Faculty of Health Science University of Buea Buea Cameroon

Penis amputations are rare, they are most often observed in a criminal context or in the context of self-mutilation. We present the case of a partial amputation of the shaft in the context of a domestic accident. This is a 53-year-old patient received in the emergency department for partial amputation of the penis occurred, whose mechanism of occurrence would be the fall of a sheet metal from the roof of his house, with reception on the proximal end of the shaft leading to a partial rupture of it—here, with total urethral section. He has no medical-surgical history. The physical examination finds a good general condition, a partial tearing of the ventral face of the penis associated with a total rupture of the urethra followed by a hemorrhage, the rest of the examination was without particularity. The emergency assessment carried out was without particularity. The treatment consisted initially of catheterizing the urethra by a urinary tube ch 20, then a urethral replacement, followed by a Peno plastie. The surgical suites were enamelled with parietal suppuration plus necrosis at J 14 post-operative. A more bidaily dressing debridement followed with a favorable evolution at 2 months. Subsequently, a penile graft was performed more urethrolastic, with removal of the flap on the inner side of the thigh, the surgical suites were favorable on the sexual plane gradual resumption of night erections.

关键词： Penis Partial Amputation uretroplasty Penoplasty Flap Bonamoussadi Subdivisional Health Center

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