en تخصصي Special مقالات اصيل Original Article <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:150%"><span helvetica="" neue="" style="font-family:"><span style="color:black"><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">The aim of this study is to explain microscopic replantation in a rare case of a completely amputated penis after prolong ischemia. A 36-year-old patient underwent microscopic replantation of the penis after 9 hours. The penis was completely amputated due to self-mutilation. Microvascular replantation was performed after pre-operative preparation. On the second day after surgery, congestion was observed in the penis, and three sessions of leech therapy were conducted, each time the leeches were placed for 30 minutes and then detached by themselves. The patient was referred to a psychiatrist to continue treatment after discharge from the hospital. Penile amputation is a rare situation and has different causes. There are various treatments to repair the amputated penis, which are both microvascular and microvascular. The microsurgery methods have shown the best results. In the present case, due to microsurgical artery repair and the early start of leech therapy, there was limited and predictable necrosis in the area of the penoscrotal junction flap, which underwent debridement and skin graft. Complete amputation of the penis is a rare phenomenon. Efforts should be made to perform the replantation surgery as soon as possible. The venous outflow is an important factor in the success of penile re-implantation, and we were able to completely restore vascular and sensory function in this case. Early initiation of psychological care to control underlying disease leads to further cooperation of the patient to handle complications and avoid the recurrence of self-injury.</span></span></span></span></span></span></span></span><br> &nbsp; Penile microsurgical replantation, Penile amputation, Penile self-mutilation 18 23 http://wjps.ir/browse.php?a_code=A-10-870-2&slc_lang=en&sid=1 Mohammad-Reza Akhoondinasab 100319475328460015002 100319475328460015002 Yes 1. Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran Hamid-Reza Farahmand 100319475328460015003 100319475328460015003 No 2. Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran Afshin Zahedi 100319475328460015004 100319475328460015004 No 2. Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran Amir Saraee 100319475328460015005 100319475328460015005 No 1. Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran