TY - JOUR AU - De Luca, Francesco AU - Garaffa, Giulio AU - Maurizi, Angela AU - Manzi, Emy AU - De Dominicis, Carlo AU - Ralph, David PY - 2017/06/30 Y2 - 2024/03/29 TI - Total phallic reconstruction after penile amputation for donkey bite: Case report and review of the literature JF - Archivio Italiano di Urologia e Andrologia JA - Arch Ital Urol Androl VL - 89 IS - 2 SE - Case Reports - Andrology DO - 10.4081/aiua.2017.2.166 UR - https://www.pagepressjournals.org/aiua/article/view/aiua.2017.2.166 SP - 166-168 AB - There are very few reported cases of traumatic amputation of the male genitalia due to animal bite. The management involves thorough washout of the wounds, debridement, antibiotic prophylaxis, tetanus and rabies immunization followed by immediate reconstruction or primary wound closure with delayed reconstruction, when immediate reconstruction is not feasible. When immediate reconstruction is not feasible, long-term good functional and cosmetic results are still possible in the majority of cases by performing total phallic reconstruction. In particular, it is now possible to fashion a cosmetically acceptable sensate phallus with incorporated neourethra, to allow the patient to void while standing and to ejaculate, and with enough bulk to allow the insertion of a penile prosthesis to guarantee the rigidity necessary to engage in penetrative sexual intercourse. ER -