Table 1.
Revised PENIS Score.a
| Penis criteria | Grade |
||||
|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | |
| P: Position along the shaft | <2 cm distal to the base | >2 cm distal to the base and > 0.5 cm proximal to the glans | <0.5 cm proximal to the glans | Total penile amputation including 1 testis | Total penile Amputation including both testes |
| E: Extension through the penis | Past the fascia but <50 % of the penile Diameter without urethral involvement | >50 % of the penile diameter without urethral involvement | >50 % of the penile diameter with incomplete section of the urethra | Partial amputation with a skin bridge and complete section of the urethra | Complete amputation |
| N: Neurovascular repair | ≥2 veins, ≥2 arteries, and ≥1 nerves | ≥2 veins and ≥2 arteries | ≥2 veins and 1 artery | 1 vein | 0 vein |
| I: Ischemia time and type | <1 h warm and <2 h cold | <1 h warm and 2–6 h cold | <1 h warm and >6 h cold | 1–2 h warm | >2 h warm |
| S: Severed-edge condition and contamination | Smooth edge requiring only irrigation | Jagged edge requiring only irrigation | Smooth edge +/− contamination requiring minor debridement | Jagged edge +/− contamination requiring minor debridement | Tissue damage requiring extensive debridement |
PENIS scores are reported as P1–5, E1–5, N1–5, I1–5, S1–5 with a superscript S for self-inflicted and E for external. Subscript numbers distinguish extension and severed edge scores from erection and sensation scores.