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

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 circumci...

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Main Authors: Salman Soltani, Mahdi Mottaghi, Amir Jafarpisheh, Mahmoud Tavakkoli
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2020/5806987
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author Salman Soltani
Mahdi Mottaghi
Amir Jafarpisheh
Mahmoud Tavakkoli
author_facet Salman Soltani
Mahdi Mottaghi
Amir Jafarpisheh
Mahmoud Tavakkoli
author_sort Salman Soltani
collection DOAJ
description 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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institution Kabale University
issn 2090-696X
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language English
publishDate 2020-01-01
publisher Wiley
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series Case Reports in Urology
spelling doaj-art-c65c455035e2443b90253f53edd7c5512025-02-03T01:03:58ZengWileyCase Reports in Urology2090-696X2090-69782020-01-01202010.1155/2020/58069875806987Penile Glans Amputation following Circumcision: A Case Report of a Rare ComplicationSalman Soltani0Mahdi Mottaghi1Amir Jafarpisheh2Mahmoud Tavakkoli3Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, IranStudents Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranKidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, IranCircumcision 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.http://dx.doi.org/10.1155/2020/5806987
spellingShingle Salman Soltani
Mahdi Mottaghi
Amir Jafarpisheh
Mahmoud Tavakkoli
Penile Glans Amputation following Circumcision: A Case Report of a Rare Complication
Case Reports in Urology
title Penile Glans Amputation following Circumcision: A Case Report of a Rare Complication
title_full Penile Glans Amputation following Circumcision: A Case Report of a Rare Complication
title_fullStr Penile Glans Amputation following Circumcision: A Case Report of a Rare Complication
title_full_unstemmed Penile Glans Amputation following Circumcision: A Case Report of a Rare Complication
title_short Penile Glans Amputation following Circumcision: A Case Report of a Rare Complication
title_sort penile glans amputation following circumcision a case report of a rare complication
url http://dx.doi.org/10.1155/2020/5806987
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AT mahmoudtavakkoli penileglansamputationfollowingcircumcisionacasereportofararecomplication