2022 AMI Online Salon

John Doe’s Peyronie’s Disease Repair and Resulting Necrosis and Phalloplasty

Project Details

  • Entrant Name:  Asha Kays
  • Client: Medical Malpractice Attorney
  • Copyright: Amicus Visual Solutions, 2021
  • Medium/software used: Adobe Photoshop, Adobe InDesign
  • Final presentation format: 30×40 enlarged courtroom exhibit boards
  • Primary Audience: Jury

Project Description

These exhibits were created for a medical malpractice case to demonstrate the series of events that ultimately led to the plaintiff requiring penile amputation and resulting phalloplasty. The plaintiff presented to his urologist with Peyronie’s Disease (a condition causing the formation of fibrous scar tissue within the penis leading to painful, bent erections) and ongoing erectile dysfunction. The initial surgery (top panel) addressed these urologic conditions, including placement of a penile implant and dissection of the scar tissue that was causing the painful curvature. Two days post-op, the plaintiff called the surgeon’s office complaining of pain and redness. The triage nurse prescribed ibuprofen and neglected to confirm antibiotic dosage or recommend an in-office visit. At the first postoperative checkup, the plaintiff was found to have severe necrosis of the surgical site (middle panel). Because of the severity of the untreated infection, the implant was removed and the necrotic tissues were debrided. Due to still advancing necrosis, a third surgery was required resulting in a nearly complete surgical amputation of the shaft of the penis. The plaintiff underwent a final surgery (bottom panel) months later to create a neophallus to restore desired aesthetics, regain the ability for standing urination, and to eliminate pain.