Related Experiment Video
Updated: Oct 26, 2025
Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
Glans ischemia after circumcision in children: Two case reports
Daniela Codrich1, Alessandro Boscarelli2, Alessia Cerrina1
1Department of Pediatric Surgery and Urology, Institute for maternal and child health-IRCCS Burlo Garofolo, Trieste 34137, Italy.
Insights
Glans ischemia, a rare complication of childhood circumcision, lacks defined causes and management. This study explores treatment using enoxaparin and vasodilators for this serious condition.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Circumcision is a common childhood surgery with potential complications.
- Glans ischemia (GI) is a reported, yet poorly understood, complication following circumcision.
- Current management guidelines for GI are lacking.
Background:
Circumcision refers to the removal of the skin covering the tip of the penis and is one of the most common surgical procedures performed in childhood. Even though circumcision is a well-standardized operation, several minor and major complications may be experienced by paediatric surgeons. Glans ischemia (GI) has been widely reported in the paediatric literature as a complication following circumcision. Nonetheless, etiopathogenesis of GI is not well defined and management guidelines are lacking.
Case Summary:
We describe our experience with this rare and scary complication using subcutaneous enoxaparin alone or in association with a topical vasodilator.
Conclusion:
Hypothetical causes and different management strategies are discussed.
