Glans replantation after a penile traumatic amputation during circumcision

Abstract

Traumatic amputation of the penis is a rare but disabling condition that can occur during self-inflicted injury, felonious assault, accidental trauma, or circumcision. This report aims to access the cosmetic and functional results of a penile replantation without micro-anastomosis after a penile traumatic amputation during circumcision in a limited resource setting. A one-year-old child presented penile amputation located at 2mm below the neck of the glans penis during circumcision. We admitted the child to the theatre of the Campus Teaching Hospital of Lomé (Togo) 3 h after the trauma. Under general anaesthesia, we performed an end-to-end urethra, corpus spongiosum, corpora cavernosa, and skin to mucosa anastomosis. We positioned a Foley catheter for 12 days and established an anticoagulation treatment for a week. During the postoperative course, there was progressive necrosis of the skin and the glans mucosa. We performed debridement. The glans and corpora cavernosa were viable. Non-microsurgical anastomosis of the glans showed to preserve the cosmetic and genital function of the victim. • Penis replantation after traumatic amputation without micro-anastomosis in a limited resource setting. • Non-microsurgical anastomosis of glans showed to preserve the cosmetic and genital function. • Circumcision should be performed only by expert surgeons.