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Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
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Penile amputation after neonatal circumcision: a case report.
Omar Adam Sheikh1, Shukri Said Mohamed2, Ahmet Sarac3
1Department of Basic Medical Science, Faculty of Medicine, Somali National University.
Annals of Medicine and Surgery (2012)
|August 9, 2023
Summary
Ritual circumcision using a cautery device resulted in complete penile amputation in a 7-day-old infant due to an inexperienced practitioner. This rare complication highlights the importance of skilled performance in circumcision procedures to prevent severe outcomes.
Area of Science:
- Pediatric Surgery
- Urology
- Medical Complications
Background:
- Circumcision is a common surgical procedure worldwide, often performed for religious and non-therapeutic reasons.
- While generally safe, complications such as penile amputation are extremely rare.
- Previous literature indicates self-harm as the most common cause of penile amputation, with iatrogenic causes being less understood.
Purpose of the Study:
- To report a rare case of complete penile amputation following ritual circumcision in an infant.
- To emphasize the critical role of practitioner experience in preventing severe complications during circumcision.
- To discuss the management and prognosis of such a severe iatrogenic injury.
Main Methods:
- A case presentation of a 7-day-old male infant undergoing ritual circumcision with a cautery device.
- Surgical intervention included debridement of necrotic tissue.
- Post-operative management involved catheter insertion to prevent urethral stenosis.
Main Results:
- The infant experienced discoloration and necrosis of the glans and penis following circumcision.
- Complete penile amputation occurred, necessitating surgical debridement.
- Catheterization was performed to prevent urethral stenosis, with the entire penis being lost.
Conclusions:
- Complete penile amputation is a rare but devastating complication of infant circumcision, particularly when performed by inexperienced practitioners.
- Proper technique and experienced operators are crucial to minimize risks associated with circumcision.
- This case underscores the need for vigilance and skilled execution in all surgical procedures, even common ones.
