Traumatic Penile Amputation: A Case Report and Acute Management

Traumatic penile amputation is an uncommon surgical emergency with various etiologies. Frequently, the injury is self-inflicted by patients suffering from an acute psychotic episode [1]. However, the injury has also been described secondary to domestic violence, other criminal assaults, and accidental trauma [2-4]. Nonetheless, the incidence of traumatic penile amputation remains low, limiting our understanding mainly to case reports and reviews. Notably, the largest case series comes from Thailand which developed much of the early understanding of the injury and management [2]. During the late 1970s, there was an epidemic of penile amputations by wives of unfaithful husbands leading to the treatment of 18 cases at a single center, representing the largest series to date. Regardless of the etiology, penile amputation represents a surgical emergency that must be addressed quickly and efficiently in order to maximize functional outcomes.