Successful Composite Grafting of Glans Penis in Pediatric Traumatic Penile Amputation

Area of Science:

• Urology
• Pediatric Surgery
• Microsurgery

Background:

• Traumatic penile amputation presents a rare but significant urologic emergency, particularly in children.
• Such injuries can lead to severe functional, aesthetic, and psychological sequelae, impacting quality of life.
• Prompt management is crucial for salvaging the amputated penile tissue.

Observation:

• A case of a four-year-old boy with traumatic glans penis amputation due to a sliding door accident is presented.
• The injury involved the distal portion of the penis, necessitating urgent surgical intervention.
• The amputated glans penis tissue was assessed for viability and suitability for grafting.

Findings:

• Successful composite grafting of the glans penis was performed.
• The procedure resulted in excellent functional and aesthetic outcomes for the patient.
• Microvascular replantation was considered but deemed less feasible in this specific case.

Implications:

• Composite grafting is presented as a viable and effective alternative for penile amputation salvage when microvascular replantation is not feasible.
• This technique is particularly favorable for smaller ( < 2cm) and non-crushed/contused grafts.
• The findings support composite grafting as a reconstructive option in pediatric penile trauma, preserving function and appearance.