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Amputation of penis after circumcision--penoplasty using expandable prosthesis
1Service de Chirurgie Viscérale Infantile, Hôpital d'Enfants Armand-Trousseau, Paris, France.
Summary
Penile reconstruction surgery successfully restored a two-year-old boy's penis after amputation. The innovative technique utilized a vascularized flap and expandable prosthesis, yielding satisfactory results after two years.
Area of Science:
- Urology
- Pediatric Surgery
- Reconstructive Surgery
Background:
- Ritual circumcision can rarely lead to penile amputation in infants.
- Reconstruction of the penis in pediatric cases presents unique surgical challenges.
Observation:
- A two-year-old boy presented with complete penile amputation post-ritual circumcision.
- Surgical intervention aimed at penile reconstruction was performed.
Findings:
- The reconstruction involved mobilizing the corpora cavernosa and using a hypogastric vascularized flap.
- A subcutaneous expandable prosthesis was integrated for coverage and support.
- After a two-year follow-up, the appearance of the reconstructed penis (neo-penis) was deemed satisfactory given the initial trauma.
Implications:
- This case demonstrates a successful approach to complex penile reconstruction in a pediatric patient.
- The described technique offers a viable option for restoring penile form and function after traumatic amputation.
- Further research into long-term outcomes and functional results of such reconstructions is warranted.