Surgical reimplantation of penile glans amputation in children during circumcision

• Main Authors: Bouassida Khaireddine, Hidoussi Adnen, Ben B Khaled, Slama Adel
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Urology Annals
• Subjects: Circumcision; penile amputation; reconstructive surgical procedures; wounds and injuries
• Online Access: http://www.urologyannals.com/article.asp?issn=0974-7796;year=2014;volume=6;issue=1;spage=85;epage=87;aulast=Khaireddine

Circumcision is one of the oldest and most commonly performed surgical procedures. Unfortunately, various complications may occur during circumcision, ranging from trivial to tragic such as penile amputation which is a serious complication and a challenging injury to treat. We describe two cases of non-microsurgical successful reattachment of a distal penile glans which were amputated during circumcision. In the first case, a 5-year-old child underwent circumcision by an urologist under local anesthesia. In the second one, a 3-year-old child underwent circumcision by a general practitioner who used to make circumcision. In this article, the literature is reviewed; results and potential complications of this surgery are also discussed. Glans sensation was present, early morning erection was maintained, and there was an erectile response during penile manipulation in both cases. Although circumcision is not technically difficult, it should be taken seriously. The use of microsurgical reattachment is not always possible, especially in pediatric cases; it also requires special equipment and training.