Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique

Abstract Background Circumcision is considered to be a procedure with minimal morbidity but may be associated with catastrophic complications in inexpert hands. Case presentation We presented a 9-year-old boy with a past medical history of circumcision at the age of one year with Plastibell clamp wh...

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Main Authors: Jalil Hosseini, Saeid Haghdani, Nima Narimani
Format: Article
Language:English
Published: BMC 2019-06-01
Series:BMC Pediatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12887-019-1554-z
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author Jalil Hosseini
Saeid Haghdani
Nima Narimani
author_facet Jalil Hosseini
Saeid Haghdani
Nima Narimani
author_sort Jalil Hosseini
collection DOAJ
description Abstract Background Circumcision is considered to be a procedure with minimal morbidity but may be associated with catastrophic complications in inexpert hands. Case presentation 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. Conclusion This complication emphasized the importance of the follow-up visit by a physician for any probable string remnant.
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spelling doaj.art-30f4e97e6fc04d4fb0a3143cbb68f20a2022-12-22T01:17:10ZengBMCBMC Pediatrics1471-24312019-06-011911310.1186/s12887-019-1554-zGlandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision techniqueJalil Hosseini0Saeid Haghdani1Nima Narimani2Men’s health and reproductive health research center, Shahid Beheshti University of Medical SciencesDepartment of Urology, Hasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS)Department of Urology, Hasheminejad Kidney Center (HKC), Iran University of Medical Sciences (IUMS)Abstract Background Circumcision is considered to be a procedure with minimal morbidity but may be associated with catastrophic complications in inexpert hands. Case presentation 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. Conclusion This complication emphasized the importance of the follow-up visit by a physician for any probable string remnant.http://link.springer.com/article/10.1186/s12887-019-1554-zCircumcisionPlastibellComplication
spellingShingle Jalil Hosseini
Saeid Haghdani
Nima Narimani
Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique
BMC Pediatrics
Circumcision
Plastibell
Complication
title Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique
title_full Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique
title_fullStr Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique
title_full_unstemmed Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique
title_short Glandular amputation by strangulating tied suture: a case report of late-onset complication in the Plastibell circumcision technique
title_sort glandular amputation by strangulating tied suture a case report of late onset complication in the plastibell circumcision technique
topic Circumcision
Plastibell
Complication
url http://link.springer.com/article/10.1186/s12887-019-1554-z
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AT saeidhaghdani glandularamputationbystrangulatingtiedsutureacasereportoflateonsetcomplicationintheplastibellcircumcisiontechnique
AT nimanarimani glandularamputationbystrangulatingtiedsutureacasereportoflateonsetcomplicationintheplastibellcircumcisiontechnique