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Trauma of the external genitalia in children: amputation of the penis and emasculation.

Identifieur interne : 004E38 ( PubMed/Corpus ); précédent : 004E37; suivant : 004E39

Trauma of the external genitalia in children: amputation of the penis and emasculation.

Auteurs : B. Ochoa

Source :

RBID : pubmed:9719288

English descriptors

Abstract

Amputation of the penis or emasculation in children is rarely reported in the medical literature. This study involves 7 children with these injuries admitted to the University Hospital San Vicente de Paul, Medellin, Colombia, from 1960 to 1995. A new surgical technique is described for penile reconstruction that makes sex reassignment to the female gender unnecessary in most if not all cases.

PubMed: 9719288

Links to Exploration step

pubmed:9719288

Le document en format XML

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<title xml:lang="en">Trauma of the external genitalia in children: amputation of the penis and emasculation.</title>
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<name sortKey="Ochoa, B" sort="Ochoa, B" uniqKey="Ochoa B" first="B" last="Ochoa">B. Ochoa</name>
<affiliation>
<nlm:affiliation>Department of Pediatric Surgery, Hospital Universitario San Vincente de Paul, Medellin, Colombia.</nlm:affiliation>
</affiliation>
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<title xml:lang="en">Trauma of the external genitalia in children: amputation of the penis and emasculation.</title>
<author>
<name sortKey="Ochoa, B" sort="Ochoa, B" uniqKey="Ochoa B" first="B" last="Ochoa">B. Ochoa</name>
<affiliation>
<nlm:affiliation>Department of Pediatric Surgery, Hospital Universitario San Vincente de Paul, Medellin, Colombia.</nlm:affiliation>
</affiliation>
</author>
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<series>
<title level="j">The Journal of urology</title>
<idno type="ISSN">0022-5347</idno>
<imprint>
<date when="1998" type="published">1998</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Amputation, Traumatic (surgery)</term>
<term>Child</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Penis (injuries)</term>
<term>Penis (surgery)</term>
<term>Surgical Procedures, Operative (methods)</term>
<term>Testis (injuries)</term>
<term>Testis (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Penis</term>
<term>Testis</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Surgical Procedures, Operative</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Amputation, Traumatic</term>
<term>Penis</term>
<term>Testis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Child</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
</keywords>
</textClass>
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<front>
<div type="abstract" xml:lang="en">Amputation of the penis or emasculation in children is rarely reported in the medical literature. This study involves 7 children with these injuries admitted to the University Hospital San Vicente de Paul, Medellin, Colombia, from 1960 to 1995. A new surgical technique is described for penile reconstruction that makes sex reassignment to the female gender unnecessary in most if not all cases.</div>
</front>
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<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">9719288</PMID>
<DateCreated>
<Year>1998</Year>
<Month>09</Month>
<Day>17</Day>
</DateCreated>
<DateCompleted>
<Year>1998</Year>
<Month>09</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>08</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0022-5347</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>160</Volume>
<Issue>3 Pt 2</Issue>
<PubDate>
<Year>1998</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of urology</Title>
<ISOAbbreviation>J. Urol.</ISOAbbreviation>
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<ArticleTitle>Trauma of the external genitalia in children: amputation of the penis and emasculation.</ArticleTitle>
<Pagination>
<MedlinePgn>1116-9; discussion 1137</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Amputation of the penis or emasculation in children is rarely reported in the medical literature. This study involves 7 children with these injuries admitted to the University Hospital San Vicente de Paul, Medellin, Colombia, from 1960 to 1995. A new surgical technique is described for penile reconstruction that makes sex reassignment to the female gender unnecessary in most if not all cases.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Clinical histories and photographs of 7 boys 4 months to 8 years old with penile amputation or emasculation were reviewed. Five patients were younger than 1 year. Sex reassignment to the female gender was accepted by 1 family and refused by 4. Three boys were hospitalized at ages 3.5, 4 and 4.5 years, respectively, and underwent phalloplasty using the stumps of the remaining corpora cavernosa. The 2 older patients had been emasculated in accidents. In the 8-year-old patient the penis was reattached and the 7-year-old boy awaits myodermal flap phalloplasty.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The boy raised in the female gender requested reassignment as a boy 14 years later. The 3 patients who underwent penile reconstruction were followed for 17, 12 and 8 years, respectively. At the last followup they emptied the bladder, and had normal skin sensitivity and erections. After 3 years the boy with a reattached penis has no problem emptying the bladder but he has lymphedema and decreased skin sensitivity.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Phalloplasty using the remaining stumps of the corpora cavernosa should be first line therapy in children with traumatic loss of the penis. It restore the functional and cosmetic aspects of the organ, and makes sex reassignment to the female gender unnecessary. Replantation of the penis must be attempted when the amputated organ is recovered. A microvascular technique is recommended.</AbstractText>
</Abstract>
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<LastName>Ochoa</LastName>
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<Affiliation>Department of Pediatric Surgery, Hospital Universitario San Vincente de Paul, Medellin, Colombia.</Affiliation>
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<DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<DescriptorName UI="D010413" MajorTopicYN="N">Penis</DescriptorName>
<QualifierName UI="Q000293" MajorTopicYN="Y">injuries</QualifierName>
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<DescriptorName UI="D013737" MajorTopicYN="N">Testis</DescriptorName>
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