Pitoyo Joko, Ciam Albert
Department of Surgery, Urology Sub-Division, Faculty of Medicine, Riau University, Pekanbaru, Indonesia.
Urology Department, Hasan Sadikin Academic Medical Center, Universitas Padjajaran Bandung, Indonesia.
Urol Case Rep. 2024 Dec 18;58:102914. doi: 10.1016/j.eucr.2024.102914. eCollection 2025 Jan.
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.
包皮环切术后阴茎离断是一种罕见但严重的并发症。重建龟头是一项复杂的外科挑战，已经提出了几种技术来解决这个问题。我们报告一例10岁男孩，在包皮环切术后14小时发生完全性龟头离断。初始剩余阴茎长度测量为2厘米。我们进行了残端修复并计划分期手术。颊黏膜移植重建新龟头，联合睾酮激素替代治疗，是一种简单的手术，效果满意。该病例为未来类似病例的处理提供了有价值的见解。
