Work

Pre-hormonal therapy combined with buccal mucosal graft for glans reconstruction in complete penile amputation: A case report and review of literature

Year: 2024

Type: article

Abstract: Penile amputation following circumcision is a rare but serious complication. Reconstructing the glans poses a complex surgical challenge, and several techniques have been proposed to address this issue. We present the case of a 10-year-old boy who experienced complete glans amputation 14 hours after circumcision. The initial remaining penile length was measured at 2 cm. We performed stump repair and planned for staged surgery. Buccal mucosal grafting for neo-glans reconstruction, combined with testosterone pre-hormonal therapy, proved to be a simple procedure with satisfactory results . This case provides valuable insights into the management of similar cases in the future. • Penile reconstruction following amputation presents a complex surgical challenge. • Cosmetic appearance of the glans and penile length are key concerns following penile amputation. • Buccal mucosal grafts are durable, flexible, and suitable materials for glans reconstruction. • Pre-hormonal therapy with testosterone has successfully increased penile length in prepubertal children. • Buccal mucosal grafts for neo-glans reconstruction, combined with testosterone pre-hormonal therapy, offer a simple procedure with satisfactory results.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2024.102914

Authors: Joko Pitoyo, Albert Ciam

Institutions: Riau University, Padjadjaran University

Language: English

Topic: Urological Disorders and Treatments

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,060