Iatrogenic Penile Glans Amputation: Major Novel Reconstructive Procedure

Rami Nasr,Joseph Bakhach,Rami R Abou Ghaida,Samer L Traboulsi

doi:10.1155/2013/741980

Abstract

Circumcision is a very common urological practice. Even though it is relatively safe, it is not a complication-free procedure. We describe a patient that underwent a neonatal circumcision complicated by iatrogenic complete glans amputation. Reconstructive repair of a neoglans using a modified traditional method was used. Postoperative followup to 90 days is illustrated. Despite being a simple procedure, circumcision in unprofessional hands can have major complication impacting the emotional and sexual life of patients. Surgical reconstruction is possible with varying satisfactory results.

Highlights

Circumcision is one of the most common operations performed in urology
Penile glans reconstruction due to partial or complete injury is a challenging issue for both urologists and plastic surgeons and the aim of the reconstruction is to provide an esthetically acceptable shape, allow for normal or near normal intercourse, preserve sensation if possible, and perform a surgery that minimizes the risks of fistulae or urethral strictures
Through a Pfannenstiel incision, a rectus abdominis flap of 4 × 12 cm was harvested with preservation of the deep epigastric neurovascular supply (Figure 5) and was tunneled under the skin of the suprapubic area and the penile shaft skin to reach the area of the neoglans (Figure 6)

Summary

Introduction

Circumcision is one of the most common operations performed in urology It is usually a safe and simple procedure with a very low morbidity rate; serious complications can occur [1]. In this part of the world, circumcision is regarded as a religious ritual. Our patient is a 35-year-old healthy single male He had a neonatal circumcision performed by a surgeon but was complicated by bleeding. We elected to use the technique of neoglans reconstruction described by Shaeer and Sebaie in 2005 [5] with a few modifications

Description of the Procedure

Discussion

Conclusion

Conflict of Interests