This approach is dependent on the corporal sinusoidal blood flow. The original approach for penile replantation, which was first described in the late 1920’s by Ehrich, was a macrosurgical technique that focused on aligning the major structures of the penis including the urethra, corpora spongiosa, corpora cavernosa, and glandular epithelium. The most common causes in pediatrics are traumatic circumcision and automobile accidents. The most common causes of penile amputations in adults are self-mutilation, domestic violence, and trauma.

Penile amputation injuries are rare, making it difficult to develop standardized management guidelines. Nevertheless this serious injury has major functional and psychological consequences. Penile amputation can present as an isolated injury or as part of an extensive perineal trauma requiring intensive care unit admission. These unique and very different cases of penile amputation highlight differences in operative managements, complications, and reconstructive possibilities. An older gentleman endured extensive perineal trauma after being trapped underneath an industrial-sized lawnmower, and a young adolescent was bitten by an English bulldog and suffered amputation of the glans of his penis. We present two unusual cases of traumatic penile amputation. Many mechanisms have been reported ranging from self-mutilation and domestic violence to traumatic circumcisions. Penile amputation is an uncommon and highly morbid injury.

Total amputation of penis by zaw myint