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Iatrogenic penile glans amputation: major novel reconstructive procedure.

Nasr R, Traboulsi SL, Abou Ghaida RR, Bakhach J - Case Rep Urol (2013)

Bottom Line: Even though it is relatively safe, it is not a complication-free procedure.Postoperative followup to 90 days is illustrated.Surgical reconstruction is possible with varying satisfactory results.

View Article: PubMed Central - PubMed

Affiliation: Division of Urology, Surgery Department, American University of Beirut, P.O. Box 11-0236 Riad El Solh, Beirut 1107 2020, Lebanon.

ABSTRACT
Circumcision is a very common urological practice. Even though it is relatively safe, it is not a complication-free procedure. We describe a patient that underwent a neonatal circumcision complicated by iatrogenic complete glans amputation. Reconstructive repair of a neoglans using a modified traditional method was used. Postoperative followup to 90 days is illustrated. Despite being a simple procedure, circumcision in unprofessional hands can have major complication impacting the emotional and sexual life of patients. Surgical reconstruction is possible with varying satisfactory results.

No MeSH data available.


Related in: MedlinePlus

Ninety-day followup.
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fig9: Ninety-day followup.

Mentions: We chose the method of Shaeer and Sebaie [5] because it is rather simple to perform, is a one stage procedure, and provides acceptable cosmetic and functional results. Our patient had an MRI for the penis with gadolinium to assess the extent of injury that showed acceptable residual length of the corpus-cavernous bodies. The rectus abdominis flap purpose is to give the shape of the neoglans and to provide few centimeters to the overall penile length. We performed few maneuvers to add more length including dorsal and ventral Z plasties, cutting the suspensory ligaments, and performing liposuction of the pubic area. Thus four centimeters were added to the shaft. The patient did well and was satisfied regarding cosmesis at ninety-day followup (Figure 9). However, he developed meatal stenosis and a small fistula at the ventral side of the flap that eventually closed after being instructed to perform self-meatal dilatation twice daily.


Iatrogenic penile glans amputation: major novel reconstructive procedure.

Nasr R, Traboulsi SL, Abou Ghaida RR, Bakhach J - Case Rep Urol (2013)

Ninety-day followup.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860129&req=5

fig9: Ninety-day followup.
Mentions: We chose the method of Shaeer and Sebaie [5] because it is rather simple to perform, is a one stage procedure, and provides acceptable cosmetic and functional results. Our patient had an MRI for the penis with gadolinium to assess the extent of injury that showed acceptable residual length of the corpus-cavernous bodies. The rectus abdominis flap purpose is to give the shape of the neoglans and to provide few centimeters to the overall penile length. We performed few maneuvers to add more length including dorsal and ventral Z plasties, cutting the suspensory ligaments, and performing liposuction of the pubic area. Thus four centimeters were added to the shaft. The patient did well and was satisfied regarding cosmesis at ninety-day followup (Figure 9). However, he developed meatal stenosis and a small fistula at the ventral side of the flap that eventually closed after being instructed to perform self-meatal dilatation twice daily.

Bottom Line: Even though it is relatively safe, it is not a complication-free procedure.Postoperative followup to 90 days is illustrated.Surgical reconstruction is possible with varying satisfactory results.

View Article: PubMed Central - PubMed

Affiliation: Division of Urology, Surgery Department, American University of Beirut, P.O. Box 11-0236 Riad El Solh, Beirut 1107 2020, Lebanon.

ABSTRACT
Circumcision is a very common urological practice. Even though it is relatively safe, it is not a complication-free procedure. We describe a patient that underwent a neonatal circumcision complicated by iatrogenic complete glans amputation. Reconstructive repair of a neoglans using a modified traditional method was used. Postoperative followup to 90 days is illustrated. Despite being a simple procedure, circumcision in unprofessional hands can have major complication impacting the emotional and sexual life of patients. Surgical reconstruction is possible with varying satisfactory results.

No MeSH data available.


Related in: MedlinePlus