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

Circumcision is considered to be a procedure with minimal morbidity but may be associated with catastrophic complications in inexpert hands. 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 pen...

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Bibliographic Details
Published in:BMC pediatrics 2019-06, Vol.19 (1), p.175-175, Article 175
Main Authors: Hosseini, Jalil, Haghdani, Saeid, Narimani, Nima
Format: Article
Language:English
Subjects:
Amputation
Case Report
Case reports
Circumcision
Complication
Infections
Injuries
Methods
Morbidity
Newborn babies
Pediatrics
Physicians
Plastibell
Plastic surgery
Reconstructive surgery
Surgery
Sutures
Systematic review
Urogenital system
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Summary:Circumcision is considered to be a procedure with minimal morbidity but may be associated with catastrophic complications in inexpert hands. 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. This complication emphasized the importance of the follow-up visit by a physician for any probable string remnant.
ISSN:1471-2431
1471-2431
DOI:10.1186/s12887-019-1554-z