Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature

Penile amputation following circumcision is a rare but serious complication. Reconstructing the glans poses a complex surgical challenge, and several techniques have been proposed to address this issue. We present the case of a 10-year-old boy who experienced complete glans amputation 14 hours after...

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Bibliographic Details
Main Authors: Joko Pitoyo, Albert Ciam
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442024002687
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Summary:Penile amputation following circumcision is a rare but serious complication. Reconstructing the glans poses a complex surgical challenge, and several techniques have been proposed to address this issue. We present the case of a 10-year-old boy who experienced complete glans amputation 14 hours after circumcision. The initial remaining penile length was measured at 2 cm. We performed stump repair and planned for staged surgery. Buccal mucosal grafting for neo-glans reconstruction, combined with testosterone pre-hormonal therapy, proved to be a simple procedure with satisfactory results. This case provides valuable insights into the management of similar cases in the future.
ISSN:2214-4420