Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Feb;52(2):147-9.
doi: 10.4111/kju.2011.52.2.147. Epub 2011 Feb 21.

Amputation of glans penis: a rare circumcision complication and successful management with primary anastomosis and hyperbaric oxygen therapy

Affiliations

Amputation of glans penis: a rare circumcision complication and successful management with primary anastomosis and hyperbaric oxygen therapy

Gökhan Faydaci et al. Korean J Urol. 2011 Feb.

Abstract

Penile amputation is an uncommon condition that requires immediate surgical replantation. Routine standardized procedures for dealing with this medical condition do not exist. We describe a case of complete guillotine-type glans penis amputation and review the relevant literature. We performed urethral end-to-end approximation and glanular anastomosis and then applied hyperbaric oxygen therapy postoperatively. We obtained very good cosmetic and functional results.

Keywords: Amputation; Circumcision; Penis.

PubMed Disclaimer

Conflict of interest statement

The authors have nothing to disclose.

Figures

FIG. 1
FIG. 1
(A) Guillotine type penile amputation. (B) Amputated part of the glans penis.
FIG. 2
FIG. 2
Appearance of the penis and urethral stent postoperatively.
FIG. 3
FIG. 3
Partial superficial necrosis of the penis on the 7th postoperative day.
FIG. 4
FIG. 4
Appearance of the penis at the end of hyperbaric oxygen therapy on the 30th postoperative day.

References

    1. Gluckman GR, Stoller ML, Jacobs MM, Kogan BA. Newborn penile glans amputation during circumcision and successful reattachment. J Urol. 1995;153:778–779. - PubMed
    1. van der Zee JA, Hage JJ, Groen JM, Bouman FG. A serious complication of ritual circumcision of a 'buried' penis. Ned Tijdschr Geneeskd. 1991;135:1604–1606. - PubMed
    1. Ben Chaim J, Livne PM, Binyamini J, Hardak B, Ben-Meir D, Mor Y. Complications of circumcision in Israel: a one year multicenter survey. Isr Med Assoc J. 2005;7:368–370. - PubMed
    1. Elder JS. Abnormalities of the genitalia in boys and their surgical management. In: Wein AJ, Kavoussi LR, Novick AC, editors. Campbell-Walsh urology. 9th ed. Philadelphia: Saunders; 2007. pp. 3745–3760.
    1. Yilmaz AF, Sarikaya S, Yildiz S, Büyükalpelli R. Rare complication of circumcision: penile amputation and reattachment. Eur Urol. 1993;23:423–424. - PubMed