case_images: PMC6949675_01
case_images: (a) The gaping perineal wound while lying in lithotomy position status post penectomy. A Foley catheter was inserted into the urethral stump. (b) Anterior view of perineal wound showing near complete amputation of the phallus.
case_images: CRIU2019-1582047.001.jpg
case_images: PMC6949675_01_CRIU2019-1582047.001.jpg
case_images: fig1
case_images: The patient suffered avulsion of his penis, scrotum, and testicles along with sustaining gaping perineal and left lower extremity wounds (Figure 1).
case_images: PMC6949675_02
case_images: (a) The amputated glans. (b) The phallus proximal to the amputation.
case_images: CRIU2019-1582047.002.jpg
case_images: PMC6949675_02_CRIU2019-1582047.002.jpg
case_images: fig2
case_images: Patient two is a 12-year-old male who presented to the emergency department (ED) after his glans had been bitten off by an English bulldog (Figure 2).
case_images: (a) Replantation of glans with suprapubic cystostomy tube. (b) Postoperative week ten with suprapubic and urethral catheters removed.
case_images: CRIU2019-1582047.003.jpg
case_images: PMC6949675_02_CRIU2019-1582047.003.jpg
case_images: fig3
case_images: Mild superficial glans necrosis was noted two weeks postoperatively (Figure 3(a)) but the majority of the glans remained viable (Figure 3(b)). He was taken back to the operating room for placement of a 12 Fr suprapubic catheter and upsizing of his transurethral Foley catheter to 14 Fr to alleviate urinary retention and UTIs (Figure 3(a)).