Delayed presentation of paediatric penile constrictive band injury

D Imran1, J Ahmed, T Shah

  • 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.

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