PARTIAL NECROSIS OF AN AMPUTATED PENIS FOLLOWING REPLANTATION IN A HEAVY SMOKER - A CASE-REPORT

A case of penile amputation in a heavy smoker who was treated by micro surgical replantation is presented. The penis was cut by a kitchen kni fe and the ischaemia time until revascularisation was 3 hours. Followi ng successful microneurovascular repair the penis survived. However, a 3 cm portion of the ventral segment, including the corresponding uret hral segment, sloughed. The adverse effects of nicotine on vascular an astomotic network in heavy smokers are well known and may be the cause of the partial necrosis in this case. (C) 1998 Wiley-Liss, Inc.