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Updated: Jun 21, 2026
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Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
Circumcision is not mandatory in penile surgery.
Giulio Garaffa1, Antonino Sacca, A Nim Christopher
1St. Peter's Department Centre and Institute of Urology, London, UK.
BJU International
|July 15, 2009
Summary
Not circumcising patients undergoing penile straightening surgery is generally safe. Circumcision is only recommended for significant phimosis or revisional surgery, not routinely.
Area of Science:
- Urology
- Andrology
- Surgical Outcomes
Background:
- Penile surgery for curvature correction often involves degloving the foreskin.
- The necessity of circumcision during these procedures is debated.
- Assessing outcomes without circumcision is crucial for patient care.
Purpose of the Study:
- To evaluate the results of penile straightening surgery without circumcision.
- To determine if routine circumcision is necessary in these cases.
Main Methods:
- A retrospective review of 251 patients undergoing penile surgery (Lue, Nesbit, or combined procedures) between 2000-2008.
- Subcoronal incision used for degloving in 241 patients.
- Analysis of circumcision rates and outcomes in uncircumcised patients.
Main Results:
- Of 183 uncircumcised patients, 115 opted not to be circumcised.
- Secondary circumcision was required in 3/6 patients with tight foreskins.
- Only 1/113 (0.8%) patients with normal foreskins required secondary circumcision.
Conclusions:
- Routine circumcision is not indicated in penile straightening surgery.
- Consider circumcision only for significant phimosis or planned revisional surgery.
- Preserving the foreskin is a viable option for most patients.
