ePlasty: Vol. 19
CASE REPORT
Success of Penile Replantation Using Combination of Cialis, Hyperbaric Oxygen, and SPY Technology
Karen B. Lu, BA,a Kyle Sanneic, MD,a Jeffrey A. Stone, DO, MPH,b Allen Morey, MD,a and Bardia Amirlak, MD, FACSa

aUniversity of Texas Southwestern Medical Center, Dallas, Tex; and bInstitute for Exercise and Environmental Health, Texas Health Dallas


Correspondence: Bardia.Amirlak@UTSouthwestern.edu
Keywords: penile amputation, penile replant, hyperbaric oxygen, Cialis, indocyanine green dye

Objective: There are very few studies reporting the techniques utilized in penile replantation. Of those in literature, many agree that the use of microvascular technique results in better outcomes. The most common complications are skin necrosis and venous congestion, which are even higher in replants without arterial supply. Methods: This study describes a case of self-inflicted penile amputation treated with microsurgical replantation and managed postoperatively with hyperbaric oxygen therapy and Cialis (tadalafil), and SPY angiography. The penile replant had extensive skin necrosis, which prevented a sufficient clinical evaluation of the replanted penis. Serial SPY  .......