实用临床医药杂志2026，Vol.30Issue(8)：138-141,4.DOI:10.7619/jcmp.20260266
1例整合性多学科协作模式下阴茎完全离断伤的显微外科再植病例报告
A case report of microsurgical replantation for complete penile amputation under the integrated multidisciplinary collaboration model
摘要
Abstract
Objective To explore the application value of the integrated multidisciplinary col-laboration(MDC)model in the treatment of patients with complete penile amputation injuries.Meth-ods A retrospective analysis was conducted on the clinical data of a patient with complete penile am-putation due to a sawing injury in the Tangdu Hospital of Air Force Medical University in April 2025.The integrated MDC model,led by the Departments of Urology and Plastic Surgery,was employed,debridement,urethral and corporal cavernosum anastomosis,vascular and nerve anastomosis,and scrotal aesthetic repair under microsurgical techniques were conducted.Postoperatively,comprehen-sive treatment including anti-infection,anti-vasospasm,anticoagulation,and fluid resuscitation was administered.Results Immediate restoration of blood supply to the replanted penis was achieved postoperatively.Early dressing changes revealed swelling of the replanted penis,which subsequently improved.The urinary catheter was removed on postoperative day 23,with unobstructed urination and primary wound healing at the surgical site upon discharge.At the 4-month follow-up,the patient re-ported satisfactory sexual function,smooth urination,and the absence of urethral stricture or urinary fistula.Sensory and erectile function of the distal penis recovered,with an International Index of Erectile Function Questionnaire-5(IIEF-5)score of 18.Conclusion This case demonstrates that the integrated MDC model,constructed around patient needs and emphasizing complementary advantages of specialized techniques,facilitates high-quality rehabilitation in cases of complete penile amputa-tion.This model systematically combines functional reconstruction goals with morphological repair techniques,providing valuable experiencefor managing other complex compound organ injuries.关键词
阴茎完全离断伤/显微外科/再植术/整合性多学科协作模式/整形外科/泌尿外科/创伤外科/功能重建Key words
complete penile amputation/microsurgical techniques/replantation/integrated multidisciplinary collaboration model/plastic surgery/urology/trauma surgery/functional recon-struction分类
医药卫生引用本文复制引用
赵远,李玉骞,唐启胜,续功权,霍君艺..1例整合性多学科协作模式下阴茎完全离断伤的显微外科再植病例报告[J].实用临床医药杂志,2026,30(8):138-141,4.基金项目
陕西省自然科学基础研究计划一般项目(面上)(2025JC-YBMS-986) （面上）
