Extra-renal Transplanted Kidney Stone: Case Presentation and Literature Review

enile amputation is a rare injury that occurs most frequently because of self-mutilation in patients suffering from psychotic problems, especially schizophrenia. Less frequent reasons for penile amputation are non-self-mutilation, trauma due to an industrial or traffic accident, incidents during circumcision, hypospadias repair or surgery for bladder extrophy, surgical resection for malignancy, strangulation by hair coil, and penetrating injuries during war. Surgical techniques for penile reconstruction continue to evolve. However, because of the complexity of the penis, repairing and reconstructing this organ remains a great challenge for surgeons, anatomically, functionally, and aesthetically.
Treatment and care vary depending on the severity of the lesions, the delay in seeking consultation, and the patient’s mental state. The goal of penile reconstruction is to restore urinary and sexual functions with cosmetically acceptable results. Ideally, surgical repair should be immediate, to preserve as much viable tissue as possible.
This is because no other tissue in the body has the characteristics, in terms of elasticity, texture, and color, to be considered an ideal candidate for genital reconstruction. For penile amputation, microvascular replantation can be preferred as one of the treatments(1). When primary repair with genital tissue is not feasible, skin grafts and various pedicle and free flaps can be used for reconstruction.
We report a case of criminal penile amputation that was restored by radical penile crural dissection and use of a radial forearm free flap (RFFF) to cover the corpus cavernosum.