Reconstruction of the penis after necrosis due to circumcision burn.
Penile necrosis secondary to circumcision by an electrical scalpel in a 2 years and-2-months-old boy occurred. After healing of the electric burn only stumps of the erectile bodies and strictured urethral meatus remained. Penile shaft reconstruction by corpora mobilisation and detachment of the crura from the pubo-ischial rami was performed. This procedure gained 6 cm of a new length of the penis. To prevent readhesions to the pubo-ischial rami the penis was buried in a scrotal tunnel. Six months later the denuded shaft was resurfaced with one split-thickness skin graft and a zigzag seam on the ventral side was made. The patient voids with good stream, has spontaneous erections and nocturnal emissions. During 10 years of follow-up after the reconstruction two complications, namely a stricture of the urethra and a slight dorsal tethering of the penis caused by a scarred pubic skin were treated. The problems of reconstruction and resurfacing of the penis in childhood are discussed.
Stefan
H
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Department of Paediatric Surgery, University Hospital, Hradec Králové, Czecho-Slovakia.
D002675:Child, Preschool; D002944:Circumcision, Male / Q000009:adverse effects*; D004598:Electrosurgery / Q000009:adverse effects*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009336:Necrosis; D010410:Penile Erection; D010413:Penis / Q000473:pathology* / Q000601:surgery*; D014554:Urination