Penile tourniquet syndrome caused by hair

Insights

Long hairs can cause urethral fistulas in circumcised infants by constricting the penis. Physicians should examine the infant

Area of Science:

  • Pediatric Surgery
  • Urology

Background:

  • Neonatal penile complications require prompt diagnosis.
  • Urethral fistulas are rare but serious pediatric surgical conditions.

Observation:

  • Two circumcised male infants presented with penile abnormalities.
  • Symptoms included a swollen glans and abnormal urinary stream.

Findings:

  • A urethral fistula was diagnosed in both cases.
  • The fistula was attributed to constriction and ulceration by long hairs.

Implications:

  • Highlights a rare cause of urethral fistula in infants.
  • Emphasizes the importance of a thorough penile examination in infants with suggestive symptoms.
  • Alerts clinicians to consider hair-related penile injury, especially in households with long-haired caregivers.

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