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Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
Delayed presentation of paediatric penile constrictive band injury
1Department of Plastic and Hand Surgery, Baqai Medical University, Karachi, Pakistan.
Insights
A child experienced a delayed partial penile amputation and urethral transaction from a constrictive band. Single-stage surgical reconstruction of the urethra and corpora yielded a successful immediate outcome.
Area of Science:
- Urology
- Pediatric Surgery
- Trauma Surgery
Background:
- Penile injuries in children are rare.
- Self-inflicted constrictive band injuries can lead to severe consequences, including partial amputation and urethral damage.
- Delayed presentation complicates management and increases the risk of complications.
Observation:
- A child presented with delayed symptoms of partial penile amputation.
- The injury resulted from a self-inflicted constrictive band.
- Complete transaction of the urethra was noted.
Findings:
- A single-stage surgical reconstruction approach was employed.
- The reconstruction involved both the urethra and the corpora.
- The immediate surgical outcome was satisfactory.
Implications:
- This case highlights the potential severity of constrictive band injuries in children.
- Prompt surgical intervention is crucial for optimal outcomes in penile trauma.
- Single-stage reconstruction can be effective for complex urethral and corporal defects.
Abstract:
We report the case of a child with delayed presentation of partial amputation of the penis with complete transaction of the urethra following a self-inflicted constrictive band injury. Single-stage reconstruction of the urethra and corporae achieved a satisfactory immediate outcome.
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