Extensive handlebar narrow pedicle penile degloving injury in a child: A case report

Bicycle handlebar trauma rarely causes extensive perineogenital degloving in children. A 13-year-old boy sustained an 11 × 11 cm degloving injury involving the suprapubic, penile, and perineal regions, with narrow-based skin flaps and disruption of superficial penile vessels. He underwent wound exploration, washout, debridement, and layered closure. The suprapubic flap subsequently necrosed, while the penile skin remained viable, and the wound healed progressively by secondary intention. Follow-up revealed scar-related acquired cryptorchidism and mild dorsal chordee. Prompt surgical management and long-term follow-up are essential to identify and manage delayed complications.