Glans replantation after a penile traumatic amputation during circumcision

Traumatic amputation of the penis is a rare but disabling condition that can occur during self-inflicted injury, felonious assault, accidental trauma, or circumcision. This report aims to access the cosmetic and functional results of a penile replantation without micro-anastomosis after a penile tra...

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Autores principales:	K.G. Akakpo-Numado, T.E. Kouevi-Koko, K.S. Amouzou, S. Dare, L. Edoh-Bedi, K. Tengue
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Penis Glans amputation Penile replantation Circumcision Togo Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/0621a59731cc4a3abb56a5b6ecf3d297
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spelling	oai:doaj.org-article:0621a59731cc4a3abb56a5b6ecf3d2972021-11-24T04:30:22ZGlans replantation after a penile traumatic amputation during circumcision2213-576610.1016/j.epsc.2021.102100https://doaj.org/article/0621a59731cc4a3abb56a5b6ecf3d2972021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621003213https://doaj.org/toc/2213-5766Traumatic amputation of the penis is a rare but disabling condition that can occur during self-inflicted injury, felonious assault, accidental trauma, or circumcision. This report aims to access the cosmetic and functional results of a penile replantation without micro-anastomosis after a penile traumatic amputation during circumcision in a limited resource setting. A one-year-old child presented penile amputation located at 2mm below the neck of the glans penis during circumcision. We admitted the child to the theatre of the Campus Teaching Hospital of Lomé (Togo) 3 h after the trauma. Under general anaesthesia, we performed an end-to-end urethra, corpus spongiosum, corpora cavernosa, and skin to mucosa anastomosis. We positioned a Foley catheter for 12 days and established an anticoagulation treatment for a week. During the postoperative course, there was progressive necrosis of the skin and the glans mucosa. We performed debridement. The glans and corpora cavernosa were viable. Non-microsurgical anastomosis of the glans showed to preserve the cosmetic and genital function of the victim.K.G. Akakpo-NumadoT.E. Kouevi-KokoK.S. AmouzouS. DareL. Edoh-BediK. TengueElsevierarticlePenisGlans amputationPenile replantationCircumcisionTogoPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 75, Iss , Pp 102100- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Penis Glans amputation Penile replantation Circumcision Togo Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Penis Glans amputation Penile replantation Circumcision Togo Pediatrics RJ1-570 Surgery RD1-811 K.G. Akakpo-Numado T.E. Kouevi-Koko K.S. Amouzou S. Dare L. Edoh-Bedi K. Tengue Glans replantation after a penile traumatic amputation during circumcision
description	Traumatic amputation of the penis is a rare but disabling condition that can occur during self-inflicted injury, felonious assault, accidental trauma, or circumcision. This report aims to access the cosmetic and functional results of a penile replantation without micro-anastomosis after a penile traumatic amputation during circumcision in a limited resource setting. A one-year-old child presented penile amputation located at 2mm below the neck of the glans penis during circumcision. We admitted the child to the theatre of the Campus Teaching Hospital of Lomé (Togo) 3 h after the trauma. Under general anaesthesia, we performed an end-to-end urethra, corpus spongiosum, corpora cavernosa, and skin to mucosa anastomosis. We positioned a Foley catheter for 12 days and established an anticoagulation treatment for a week. During the postoperative course, there was progressive necrosis of the skin and the glans mucosa. We performed debridement. The glans and corpora cavernosa were viable. Non-microsurgical anastomosis of the glans showed to preserve the cosmetic and genital function of the victim.
format	article
author	K.G. Akakpo-Numado T.E. Kouevi-Koko K.S. Amouzou S. Dare L. Edoh-Bedi K. Tengue
author_facet	K.G. Akakpo-Numado T.E. Kouevi-Koko K.S. Amouzou S. Dare L. Edoh-Bedi K. Tengue
author_sort	K.G. Akakpo-Numado
title	Glans replantation after a penile traumatic amputation during circumcision
title_short	Glans replantation after a penile traumatic amputation during circumcision
title_full	Glans replantation after a penile traumatic amputation during circumcision
title_fullStr	Glans replantation after a penile traumatic amputation during circumcision
title_full_unstemmed	Glans replantation after a penile traumatic amputation during circumcision
title_sort	glans replantation after a penile traumatic amputation during circumcision
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/0621a59731cc4a3abb56a5b6ecf3d297
work_keys_str_mv	AT kgakakponumado glansreplantationafterapeniletraumaticamputationduringcircumcision AT tekouevikoko glansreplantationafterapeniletraumaticamputationduringcircumcision AT ksamouzou glansreplantationafterapeniletraumaticamputationduringcircumcision AT sdare glansreplantationafterapeniletraumaticamputationduringcircumcision AT ledohbedi glansreplantationafterapeniletraumaticamputationduringcircumcision AT ktengue glansreplantationafterapeniletraumaticamputationduringcircumcision
_version_	1718415956677492736

Glans replantation after a penile traumatic amputation during circumcision

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