Successful Penile Replantation With Cavernoglandular Shunt Procedure In Urban Setting: A Case Series

Area of Science:

• Urology
• Pediatric Surgery
• Microsurgery

Background:

• Traumatic penile amputation is a rare but devastating injury, particularly in children.
• Reconstructive surgery is crucial to maintain patients' quality of life.
• Limited facilities pose challenges for complex reconstructive procedures.

Observation:

• This study reports three pediatric cases of total penile amputation following circumcision.
• A macrosurgical technique combined with a cavernoglandular shunt procedure was employed for replantation.
• The cases involved challenging circumstances, including limited healthcare resources.

Findings:

• All three penile replantations were successful.
• Postoperative outcomes demonstrated good micturition, erectile function, and cosmetic results.
• Complications were minimal, indicating the efficacy of the surgical approach.

Implications:

• Macrosurgical penile replantation, including the cavernoglandular shunt, is a viable option in resource-limited settings.
• This technique offers a promising alternative for managing traumatic penile amputations in children.
• Successful replantation significantly improves long-term functional and psychological outcomes for affected patients.