Amputation of the Penis as a Severe Complication of Circumcision and Management

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Pashazade A., Uçar M. H., Çeçen S., Kahveci R.

12. Bapras Congress 2023, Konya, Turkey, 13 - 16 September 2023, pp.293-295

  • Publication Type: Conference Paper / Full Text
  • City: Konya
  • Country: Turkey
  • Page Numbers: pp.293-295
  • Bursa Uludag University Affiliated: Yes

Abstract

Introduction and Objective

 

Circumcision is the excision of the prepuce at the distal end of the penis. It is performed religiously and traditionally in Jewish, Islamic, and Christian societies. However, as in the cases discussed in this article, it is still performed in non-sterile environments and with poor technique by unqualified non-medical doctors who have not received adequate training.

 

In this article, we will review the two cases of replantation of amputated penis that we performed in our hospital. We will also provide a brief survey of the literature on penile replantation.

 

Materials and Methods

 

We will provide a retrospective analysis of two circumcision-related penile amputation cases. Two patients have been treated for circumcision-related complications in our hospital. Data was acquired from the systematic computer-assisted archive that contains surgical operation notes, emergency admission entries, and follow-up records.

Results

The patients have been followed for ten months. At the last follow-up of both patients’ control, optimally colored glans and urination in normal caliber were achieved, and there was no fistula.

 

Discussion and Conclusion

 

The complication rate of circumcision ranges from 0.2% to 3%. The most common are minor complications such as bleeding and wound infection. Some acute complications include removing too much or too little skin, necrosis due to using cautery, urinary retention, and laceration.

              

Severe complications, such as amputation, may occur. When not performed under appropriate conditions and by appropriate professionals. Penile injury treatment aims to achieve a normal functional and aesthetic result. Although it is not possible to draw a definite conclusion from a few cases, in light of the findings from the literature and our experience, microsurgical repair is a more effective option in appropriate cases. Given the results from our cases and the literature, HBO treatment may also be beneficial.