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. 2024 Feb 11;116:109384. doi: 10.1016/j.ijscr.2024.109384

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
a

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.