Men's health and reproductive health research center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Urology, Hasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS), Tehran, Iran.
BMC Pediatr. 2019 Jun 1;19(1):175. doi: 10.1186/s12887-019-1554-z.
Circumcision is considered to be a procedure with minimal morbidity but may be associated with catastrophic complications in inexpert hands.
We presented a 9-year-old boy with a past medical history of circumcision at the age of one year with Plastibell clamp who was referred with severe chronic penile injury due to neglected plastibell string. After string removal under a loupe magnification (4×), we saw a deep circular injury at distal penile shaft which led to painless glandular autoamputation 45 days later. The patient was managed conservatively with daily urethral self-dilation until future reconstructive surgery.
This complication emphasized the importance of the follow-up visit by a physician for any probable string remnant.
包皮环切术被认为是一种发病率极低的手术，但在不熟练的手中，也可能会导致灾难性的并发症。
我们报告了 1 例 9 岁男孩，1 岁时接受过 Plastibell 夹的包皮环切术，因 Plastibell 线未被及时处理而导致严重慢性阴茎损伤，随后被转诊。在放大镜（4×）下取出缝线后，我们在阴茎远端看到了一个圆形的深度损伤，导致 45 天后无痛性腺体自动切除。患者接受了保守治疗，每天进行尿道自我扩张，直到进行未来的重建手术。
这种并发症强调了医生随访的重要性，以发现任何可能的线残留。
