Editing Lower Urinary Tract Trauma (section)

==== Amputation ====
* A rare injury that is usually self-inflicted and associated with extreme mental illness.
* '''Every attempt should be made to locate, clean, and preserve the severed portion in a <span style="color:#ff0000">“double bag” technique.</span>'''
** '''The distal penis should be rinsed in saline solution, wrapped in saline-soaked gauze, and sealed in a sterile plastic bag, and the bag should be placed into an outer bag with ice or slush.'''
* '''<span style="color:#ff0000">Patients should be transferred to a facility with microsurgical capabilities</span>'''
** '''Reconstruction of the urethra and reanastomosis of the corporeal bodies with microsurgical repair of dorsal penile vessels and nerves''' achieves remarkably good results. Reanastomosis of the corporeal arteries is not recommended.
*** '''Macrovascular reconstruction alone can preserve erectile function, glans vascularity, and urethral continuity.'''
*** '''Microvascular re anastomosis is required for preservation of skin''' (dorsal artery and vein re-anastomosis) and sensation (dorsal nerve re-anastomosis).
*** '''Macrovascular or microscopic reconstruction of the penile shaft provides equivalent outcomes for erectile function.'''
** If such a facility is unavailable, macroscopic anastomosis of the urethra and corporeal bodies can be performed with good erectile results, albeit with potential compromise of sensation and skin loss.
* '''Successful reimplantation is possible'''
** '''< 16 hours of cold ischemia time OR'''
** '''< 6 hours of warm ischemia'''