Soltani Salman, Mottaghi Mahdi, Jafarpisheh Amir, Tavakkoli Mahmoud
Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Students Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Case Rep Urol. 2020 Oct 2;2020:5806987. doi: 10.1155/2020/5806987. eCollection 2020.
Circumcision is the most prevalent surgery among men. Like any other surgical intervention, it is associated with several complications. A rare shocking complication is glans amputation which is a urologic emergency. Herein, we present a 4-year-old boy with penile glans amputation following circumcision. The reimplantation was performed in less than two hours. We approximated the ends over a size 4 : 0 catheter. The urethral anastomosis was performed via 6 : 0 Vicryl sutures. Then, we sutured amputated glans in place via Vicryl 4 : 0. We immobilized the penis for a week via bandages used in penile reconstruction surgeries. We also used pentoxifylline to treat glans ischemia after surgery. The patient and his parents did not mention any difficulties or abnormalities while voiding, and the cosmetic result was favorable after three months of follow-up.
包皮环切术是男性中最常见的手术。与其他任何外科手术一样，它会引发多种并发症。一种罕见且令人震惊的并发症是龟头截断，这是一种泌尿外科急症。在此，我们报告一名4岁男孩在包皮环切术后发生阴茎龟头截断的病例。在不到两小时内进行了再植手术。我们将断端在一根4∶0的导管上对合。尿道吻合术通过6∶0的薇乔缝线进行。然后，我们用4∶0的薇乔缝线将截断的龟头缝合到位。我们通过阴茎重建手术中使用的绷带将阴茎固定一周。我们还使用己酮可可碱治疗术后龟头缺血。患者及其父母在排尿时未提及任何困难或异常情况，随访三个月后外观效果良好。
