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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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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author Joko Pitoyo
Albert Ciam
author_facet Joko Pitoyo
Albert Ciam
author_sort Joko Pitoyo
collection DOAJ
description 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.
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id doaj-art-c2b7c6d1fb0a4be4abf9f675e152fae2
institution Kabale University
issn 2214-4420
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publishDate 2025-01-01
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spelling doaj-art-c2b7c6d1fb0a4be4abf9f675e152fae22025-01-14T04:12:21ZengElsevierUrology Case Reports2214-44202025-01-0158102914Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literatureJoko Pitoyo0Albert Ciam1Department of Surgery, Urology Sub-Division, Faculty of Medicine, Riau University, Pekanbaru, Indonesia; Corresponding author.Urology Department, Hasan Sadikin Academic Medical Center, Universitas Padjajaran Bandung, IndonesiaPenile 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.http://www.sciencedirect.com/science/article/pii/S2214442024002687
spellingShingle Joko Pitoyo
Albert Ciam
Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature
Urology Case Reports
title Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature
title_full Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature
title_fullStr Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature
title_full_unstemmed Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature
title_short Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature
title_sort pre hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation a case report and review of literature
url http://www.sciencedirect.com/science/article/pii/S2214442024002687
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AT albertciam prehormonaltherapycombinedwithbuccalmucosalgraftforglansreconstructionincompletepenileamputationacasereportandreviewofliterature