Kouassi-Dria Amenan Kan Sophie, Ouattara Jean Jaures, Obro Rebecca Bonny, Gonebo Kokoe Aglevi Midekor, Aké Yapi Landry, Moh Nicolas
University Hospital of Cocody, Abidjan, Ivory Coast, BPV 13, Cote d'Ivoire.
University Hospital of Cocody, Abidjan, Ivory Coast, BPV 13, Cote d'Ivoire.
Int J Surg Case Rep. 2025 Aug;133:111541. doi: 10.1016/j.ijscr.2025.111541. Epub 2025 Jun 20.
Amputations of the glans in children are rare and have various etiologies. We report a case of glans amputation due to sexual abuse.
This is a case of a 4-year-old child who was admitted to the hospital with a cut glans following sexual abuse. The child presented with total amputation of the tip of the glans. We performed glans regularization and meatoplasty with a Foley probe. Postoperative management was straightforward.
Penile amputations are serious but rare urological emergencies. In the study by Diabaté et al. [4], amputations of the penis accounted for 0.6% of urological emergencies. The most common causes were circumcision performed by untrained personnel and animal bites [1, 3, 4, 6]. Amputation of the glans due to sexual abuse is a medico-legal problem. For investigation and prosecution purposes, the doctor or surgeon must inform the judicial authorities.
Glans amputations in children are a tragic reality. They pose psychological, emotional, and, above all, medico-legal challenges.
儿童龟头离断罕见，病因多样。我们报告一例因性虐待导致的龟头离断病例。
这是一名4岁儿童，因性虐待导致龟头切割伤入院。患儿龟头顶端完全离断。我们使用弗利导尿管进行了龟头整形和尿道口成形术。术后处理简单直接。
阴茎离断是严重但罕见的泌尿外科急症。在迪亚巴特等人的研究中，阴茎离断占泌尿外科急症的0.6%。最常见的原因是未经培训人员进行的包皮环切术和动物咬伤。因性虐待导致的龟头离断是一个法医学问题。为了调查和起诉，医生或外科医生必须通知司法当局。
儿童龟头离断是一个悲惨的现实。它们带来了心理、情感方面的问题，最重要的是，带来了法医学方面的挑战。
