Penile glans amputation is a tragic complication of circumcision. Beyond the psychological trauma parents go through, they have to deal with the lower urinary tract symptoms including acute urine retention their baby boys suffer due to meatal stenosis from the scaring process that ensues. We report on the cosmetic and functional outcomes in two patients ten years after neo-glans reconstruction following total glans amputation as a complication of circumcision and discuss the lessons learned over the period.
References
[1]
Venkov, G. and Slavov C. (2006) New method for Recovering of Defects on Glans Penis after Partial or Total Glansectomy with Transplantation of the Oral Mucosa. Khirurgiia (Sofiia), 2006, 23-27.
[2]
Hakim, M.B.I., Budaya, T.N. and Daryanto, B. (2023) Iatrogenic Penile Amputation Due to Circumcision Clamp in an Eight-Year-Old Boy. Jurnal KedokteranBrawijaya, 32, 265-268. https://doi.org/10.21776/ub.jkb.2023.032.04.12
[3]
Appiah, K., Amoah, G., Azorliade, R., Gyasi-Sarpong, K., Aboah, K., Arthur, D, et al. (2014) Glanuloplasty with Oral Mucosa Graft following Total Glans Penis Amputation. Case Reports in Urology, 2014, 671303. https://doi.org/10.1155/2014/671303
[4]
Meneghini, A., Cacciola, A., Cavarretta, L., Abatangelo, G., Ferrarrese, P. and Tasca, A. (2001) Bulbar Urethral Stricture Repair with Buccal Mucosa Graft Urethroplasty. EUR, 39, 264-267. https://doi.org/10.1159/000052450
[5]
Pansadoro, V., Emiliozzi, P., Gaffi, M., Scarpone, P., DePaula, F. and Pizzo, M. (2003) Buccal Mucosa Urethroplasty in the Treatment of Bulbar Urethral Strictures. Urology, 61, 1008-1010. https://doi.org/10.1016/S0090-4295(02)02585-2
[6]
Barbagli, G., Selli, C., Tosto, A. and Palminteri, E. (1996) Dorsal Free Graft Urethroplasty. The Journal of Urology, 155, 123-126. https://doi.org/10.1016/S0022-5347(01)66566-2
[7]
Barbagli, G. and Lazzeri, M. (2007) Surgical Treatment of Anterior Urethral Stricture Diseases: Brief Overview. International Brazilian Journal of Urology, 33, 461-469. https://doi.org/10.1590/S1677-55382007000400002
[8]
Palminteri, E., Berdondini, E., Lazzeri, M., Mirri, F. and Barbagli, G. (2007) Resurfacing and Reconstruction of the Glans Penis. European Urology, 52, 893-900. https://doi.org/10.1016/j.eururo.2007.01.047
[9]
(2024) Glanuloplasty with Urethral Flap after Partial Penectomy. Journal of Urology. https://www.auajournals.org/doi/full/10.1016/j.juro.2010.09.010
[10]
Mazza, O.N. and Cheliz, G.M.J. (2001) Glanuloplasty with Scrotal Flap for Partial Penectomy. The Journal of Urology, 166, 887-889. https://doi.org/10.1016/S0022-5347(05)65857-0
[11]
Shaeer, O., El-Sebaie, A., Sherif, A., El-Sadat, A. and Shaeer, A. (2024) Glans Reconfiguration for Management of Glanular Mutilation. The Journal of Sexual Medicine, 5, 500-503. https://academic.oup.com/jsm/article/5/2/500/6862300
[12]
Nasr, R., Traboulsi, S.L., Abou Ghaida, R.R. and Bakhach, J. (2013) Iatrogenic Penile Glans Amputation: Major Novel Reconstructive Procedure. Case Reports in Urology, 2013, e741980.
[13]
Maison, P.O.M., Yahaya, I., Appiah, K.A., Ekor, O.E., Apraku, C. and Egyir, E. (2023) Circumcision Practice among Trained Circumcisers in Ghana. African Urology, 3, 35-38.
