Abstract

Two children who had post-circumcision penile gangrene were referred for further management. Only a nubbin of penis was evident on external examination and there was an acquired penoscrotal hypospadias. Penile reconstruction was undertaken by mobilizing the corpora cavernosa together with the urethra, division of the suspensory ligament, and preservation of the neurovascular bundle. The mobilized penis was covered by a primary full-thickness skin graft that was sutured into place. The postopeartive results and follow-up at 1 year were satisfactory. At the original circumcision, monopolar diathermy had been used to cut the foreskin. The cases demonstrate the feasibility of one-stage penile reconstruction with corporal mobilization and primary full-thickness skin graft.

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