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Case Reports
. 2020 Oct 2:2020:5806987.
doi: 10.1155/2020/5806987. eCollection 2020.

Penile Glans Amputation following Circumcision: A Case Report of a Rare Complication

Salman Soltani  1 , Mahdi Mottaghi  2 , Amir Jafarpisheh  3 , Mahmoud Tavakkoli  1
Affiliations
Case Reports

Penile Glans Amputation following Circumcision: A Case Report of a Rare Complication

Salman Soltani et al. Case Rep Urol. .

Abstract

Circumcision is the most prevalent surgery among men. Like any other surgical intervention, it is associated with several complications. A rare shocking complication is glans amputation which is a urologic emergency. Herein, we present a 4-year-old boy with penile glans amputation following circumcision. The reimplantation was performed in less than two hours. We approximated the ends over a size 4 : 0 catheter. The urethral anastomosis was performed via 6 : 0 Vicryl sutures. Then, we sutured amputated glans in place via Vicryl 4 : 0. We immobilized the penis for a week via bandages used in penile reconstruction surgeries. We also used pentoxifylline to treat glans ischemia after surgery. The patient and his parents did not mention any difficulties or abnormalities while voiding, and the cosmetic result was favorable after three months of follow-up.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Amputated glans and complete injury of the urethra.
Figure 2
Figure 2
Penis pink appearance in the postoperation room.
Figure 3
Figure 3
Follow-up image after 3 weeks of operation.
See this image and copyright information in PMC

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