Total penile amputation: A report on three cases

Purpose: To present the clinicopathological aspects, etiology and management of 3 cases of penile amputations in our urology department. Observations: There were three clinical observations. Patients were aged 25, 18 and 30 years. Complete amputation of the penis was observed in all the cases. The time to presentation was 2. hours (n. =. 2) and 24. hours (n. =. 1). The etiology was criminal in 2 and psychogenic in one case The distal end of the amputated penis was taken away by the assailants or concealed by the patient. The management consisted of trimming, creation of a urethral meatus, and inserting a urethral catheter. Associated psychotherapy deemed necessary. Conclusion: from criminal or psychogenic origin, total amputation of the penis is extremely rare. The consequences are urinary, sexual and psychogenic. The management should be multidisciplinary.