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Reconstruction of an amputated glans penis with a buccal mucosal graft: case report of a novel technique.

Aboutaleb H - Korean J Urol (2014)

Bottom Line: The distal part of the remaining penis was prepared by removing fibrous tissue.A buccal mucosal graft was applied to the distal part of the penis associated with meatotomy.The use of a buccal mucosal graft is a successful and simple procedure with acceptable cosmetic and functional results for late reconfiguration of the glans penis after amputation when penile size is suitable.

View Article: PubMed Central - PubMed

Affiliation: Urology Department, Minoufiya University, Gamal Abdel-Nasser Street, Minoufiya, Egypt.

ABSTRACT
Penile amputation is a rare catastrophe and a serious complication of circumcision. Reconstruction of the glans penis may be indicated following amputation. Our report discusses a novel technique for reconfiguration of an amputated glans penis 1 year after a complicated circumcision. A 2-year-old male infant presented to us with glans penis amputation that had occurred during circumcision 1 year previously. The parents complained of severe meatal stenosis with disfigurement of the penis. Penis length was 3 cm. Complete penile degloving was performed. The distal part of the remaining penis was prepared by removing fibrous tissue. A buccal mucosal graft was applied to the distal part of the penis associated with meatotomy. The use of a buccal mucosal graft is a successful and simple procedure with acceptable cosmetic and functional results for late reconfiguration of the glans penis after amputation when penile size is suitable.

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The amputated glans penis 1 year after circumcision. The penis is disfigured and with severe meatal stenosis.
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Figure 1: The amputated glans penis 1 year after circumcision. The penis is disfigured and with severe meatal stenosis.

Mentions: A 2-year-old infant presented to our urology clinic at Mayo Hospital in Hodiedah, Yemen, with a lost glans penis that had occurred 1 year previously (Fig. 1). The glans penis was amputated at the level of the coronal sulcus. The parents gave a history of circumcision performed by an inexperienced person at home. The parents complained that their infant could not pass urine freely and that the penis was disfigured. Examination of the penis revealed an outstretched length, normal consistency, and no palpable fibrous plaques. The skin of the shaft was normal in appearance, but the tip showed scar tissue and a stenosed external urethral meatus. Penile length measured 3 cm. The parents requested improvement of the cosmetic appearance of the glans and relief of the urinary flow obstruction. The procedure was discussed with the parents and written informed consent was obtained before surgery.


Reconstruction of an amputated glans penis with a buccal mucosal graft: case report of a novel technique.

Aboutaleb H - Korean J Urol (2014)

The amputated glans penis 1 year after circumcision. The penis is disfigured and with severe meatal stenosis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4265720&req=5

Figure 1: The amputated glans penis 1 year after circumcision. The penis is disfigured and with severe meatal stenosis.
Mentions: A 2-year-old infant presented to our urology clinic at Mayo Hospital in Hodiedah, Yemen, with a lost glans penis that had occurred 1 year previously (Fig. 1). The glans penis was amputated at the level of the coronal sulcus. The parents gave a history of circumcision performed by an inexperienced person at home. The parents complained that their infant could not pass urine freely and that the penis was disfigured. Examination of the penis revealed an outstretched length, normal consistency, and no palpable fibrous plaques. The skin of the shaft was normal in appearance, but the tip showed scar tissue and a stenosed external urethral meatus. Penile length measured 3 cm. The parents requested improvement of the cosmetic appearance of the glans and relief of the urinary flow obstruction. The procedure was discussed with the parents and written informed consent was obtained before surgery.

Bottom Line: The distal part of the remaining penis was prepared by removing fibrous tissue.A buccal mucosal graft was applied to the distal part of the penis associated with meatotomy.The use of a buccal mucosal graft is a successful and simple procedure with acceptable cosmetic and functional results for late reconfiguration of the glans penis after amputation when penile size is suitable.

View Article: PubMed Central - PubMed

Affiliation: Urology Department, Minoufiya University, Gamal Abdel-Nasser Street, Minoufiya, Egypt.

ABSTRACT
Penile amputation is a rare catastrophe and a serious complication of circumcision. Reconstruction of the glans penis may be indicated following amputation. Our report discusses a novel technique for reconfiguration of an amputated glans penis 1 year after a complicated circumcision. A 2-year-old male infant presented to us with glans penis amputation that had occurred during circumcision 1 year previously. The parents complained of severe meatal stenosis with disfigurement of the penis. Penis length was 3 cm. Complete penile degloving was performed. The distal part of the remaining penis was prepared by removing fibrous tissue. A buccal mucosal graft was applied to the distal part of the penis associated with meatotomy. The use of a buccal mucosal graft is a successful and simple procedure with acceptable cosmetic and functional results for late reconfiguration of the glans penis after amputation when penile size is suitable.

Show MeSH
Related in: MedlinePlus