A Salvage Operation for Total Penis Amputation Due to Circumcision

Circumcision is one of the most common rituals in Jewish and Islamic cultures. It may also be performed for phimosis correction or the treatment of recurrent balanitis. Although circumcision is considered to be a technically easy and safe surgical procedure with no significant risk, it may lead to s...

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Main Authors: Bilsev Ince, Ayse Ozlem Gundeslioglu
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2013-05-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.e-aps.org/upload/pdf/aps-40-247.pdf
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author Bilsev Ince
Ayse Ozlem Gundeslioglu
author_facet Bilsev Ince
Ayse Ozlem Gundeslioglu
author_sort Bilsev Ince
collection DOAJ
description Circumcision is one of the most common rituals in Jewish and Islamic cultures. It may also be performed for phimosis correction or the treatment of recurrent balanitis. Although circumcision is considered to be a technically easy and safe surgical procedure with no significant risk, it may lead to severe complications such as necrotizing fasciitis or total penis amputation. In this report, we present a case of penis amputation at two levels occurring with third-degree burns due to electrocautery during circumcision. Although penile replantation was attempted, it was unsuccessful due to burn damage to the veins. After restoration of the functional structures, the penis was buried in the inguinal area by reepithelization to maintain blood circulation. The recovery of the penis was successful. This case is presented as a novel example of groin flap surgery to achieve a functionally and aesthetically acceptable outcome in a salvage operation for a penis with significant traumatic injury, which has not been previously reported in the literature.
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spelling doaj.art-e8ccf12524a14185973d82b187154d382022-12-22T03:10:33ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712013-05-01403247250169A Salvage Operation for Total Penis Amputation Due to CircumcisionBilsev Ince0Ayse Ozlem Gundeslioglu1Department of Plastic and Reconstructive and Aesthetic Surgery, Necmettin Erbakan University, Faculty of Meram Medicine, Konya, Turkey.Department of Plastic and Reconstructive and Aesthetic Surgery, Necmettin Erbakan University, Faculty of Meram Medicine, Konya, Turkey.Circumcision is one of the most common rituals in Jewish and Islamic cultures. It may also be performed for phimosis correction or the treatment of recurrent balanitis. Although circumcision is considered to be a technically easy and safe surgical procedure with no significant risk, it may lead to severe complications such as necrotizing fasciitis or total penis amputation. In this report, we present a case of penis amputation at two levels occurring with third-degree burns due to electrocautery during circumcision. Although penile replantation was attempted, it was unsuccessful due to burn damage to the veins. After restoration of the functional structures, the penis was buried in the inguinal area by reepithelization to maintain blood circulation. The recovery of the penis was successful. This case is presented as a novel example of groin flap surgery to achieve a functionally and aesthetically acceptable outcome in a salvage operation for a penis with significant traumatic injury, which has not been previously reported in the literature.http://www.e-aps.org/upload/pdf/aps-40-247.pdfPenisCircumcisionAmputation
spellingShingle Bilsev Ince
Ayse Ozlem Gundeslioglu
A Salvage Operation for Total Penis Amputation Due to Circumcision
Archives of Plastic Surgery
Penis
Circumcision
Amputation
title A Salvage Operation for Total Penis Amputation Due to Circumcision
title_full A Salvage Operation for Total Penis Amputation Due to Circumcision
title_fullStr A Salvage Operation for Total Penis Amputation Due to Circumcision
title_full_unstemmed A Salvage Operation for Total Penis Amputation Due to Circumcision
title_short A Salvage Operation for Total Penis Amputation Due to Circumcision
title_sort salvage operation for total penis amputation due to circumcision
topic Penis
Circumcision
Amputation
url http://www.e-aps.org/upload/pdf/aps-40-247.pdf
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