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Abstract：
BACKGROUND: Traumatic penile amputation is a highly uncommon surgical emergency that requires immediate intervention. Most reported cases involve genital self-mutilation induced by underlying psychiatric disorder, especially schizophrenia. The self-mutilation of external genitals in psychiatric patients, also known as Klingsor syndrome, is a rare form of urotrauma.
METHODS: We present a case of partial penile amputation in a 46-year-old male with Klingsor syndrome admitted to the hospital 3 days after the incident. Urological examination revealed a subtotal cut of the penis, including the distal part of the mons pubis, dorsal and lateral parts of the penile skin, corpus cavernosum, and corpus spongiosum, as well as a partial bulbous urethra rupture. The penis remained suspended by only a thin ventral part of the penile skin. After macroscopic surgical replantation, the patient recovered well and could urinate without any symptoms of urethral stricture. The entire penis remained viable with minimal scarring at the surgical site, and penile erection could be achieved and maintained.
CONCLUSIONS: The case demonstrates a rare instance of the successful proximal penile shaft amputation via macrosurgical techniques by an experienced urologic surgeon.
METHODS: We present a case of partial penile amputation in a 46-year-old male with Klingsor syndrome admitted to the hospital 3 days after the incident. Urological examination revealed a subtotal cut of the penis, including the distal part of the mons pubis, dorsal and lateral parts of the penile skin, corpus cavernosum, and corpus spongiosum, as well as a partial bulbous urethra rupture. The penis remained suspended by only a thin ventral part of the penile skin. After macroscopic surgical replantation, the patient recovered well and could urinate without any symptoms of urethral stricture. The entire penis remained viable with minimal scarring at the surgical site, and penile erection could be achieved and maintained.
CONCLUSIONS: The case demonstrates a rare instance of the successful proximal penile shaft amputation via macrosurgical techniques by an experienced urologic surgeon.
摘要：
背景：创伤性阴茎截肢是一种非常罕见的手术急症，需要立即干预。大多数报告的病例涉及由潜在的精神疾病引起的生殖器自残，尤其是精神分裂症。精神病患者外生殖器的自残，也被称为Klingor综合征，是一种罕见的尿路外伤.
方法：我们介绍了一例在事件发生3天后住院的46岁男性克隆克氏症患者的部分阴茎截肢病例。泌尿科检查显示阴茎有小量切割，包括耻骨的远端，阴茎皮肤的背侧和外侧部分，海绵体,和海绵体，以及部分球根尿道破裂。阴茎仅由阴茎皮肤的薄腹侧部分保持悬挂。宏观手术再植后，患者恢复良好，可以排尿，没有任何尿道狭窄的症状。整个阴茎在手术部位保持最小的疤痕，阴茎勃起可以实现和维持。
结论：该病例显示了一个罕见的实例，即由一位经验丰富的泌尿外科医生通过大型外科技术成功进行阴茎近端截肢。
方法：我们介绍了一例在事件发生3天后住院的46岁男性克隆克氏症患者的部分阴茎截肢病例。泌尿科检查显示阴茎有小量切割，包括耻骨的远端，阴茎皮肤的背侧和外侧部分，海绵体,和海绵体，以及部分球根尿道破裂。阴茎仅由阴茎皮肤的薄腹侧部分保持悬挂。宏观手术再植后，患者恢复良好，可以排尿，没有任何尿道狭窄的症状。整个阴茎在手术部位保持最小的疤痕，阴茎勃起可以实现和维持。
结论：该病例显示了一个罕见的实例，即由一位经验丰富的泌尿外科医生通过大型外科技术成功进行阴茎近端截肢。
