Work

From tragedy to triumph: A case report on the unlikely success of penile replantation following iatrogenic mass circumcision

Year: 2026

Type: article

Abstract: Penile amputation is devastating complication of circumcision, and outcomes depend on rapid preservation and timely reconstruction. We report a 4-year-old boy with complete penile amputation during a mass circumcision using electrocautery. The amputated glans was immediately cooled and reached the hospital within 30 minutes; the patient was stable with a viable stump and no active bleeding. Emergency macroreplantation under magnification was performed, spatulated urethral anastomosis over a 10 Fr Foley catheter, layered repair of corpus spongiosum and corpora cavernosa, and loose skin approximation. Recovery was uncomplicated; urinary diversion later managed minor stream splitting, with satisfactory early functional and cosmetic outcomes.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103658

Authors: Try Widianto Putra Nugraha, Irfan Wahyudi, Arry Rodjani, Gerhard Reinaldi Situmorang, Putu Angga Risky Raharja

Institutions: University of Indonesia, Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo

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: $1,160