title: Penile lengthening for traumatic penile amputation due to ritual circumcision: a case report.
abstract: Some tribes in South Africa still practice ritual circumcision in adolescent boys. A traditional healer performs the procedure and, not uncommonly, amputation occurs. The authors present a case of a 20-year-old man who sustained a midshaft penile amputation as a result of a ritual circumcision. Treatment was with a modified penile-lengthening technique that incorporates gracilis muscle transposition to fill the dead space created after detaching the penile suspensory ligament. This may help prevent retraction. Almost 3 cm of lengthening was obtained. This is a useful method of treatment for penile amputation.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Groote Schuur Hospital, Cape Town, South Africa.
authors.forename: R
authors.initials: R
authors.lastname: Silfen
authors.forename: D A
authors.initials: DA
authors.lastname: Hudson
authors.forename: S
authors.initials: S
authors.lastname: McCulley
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000209:etiology / Q000601:surgery; D002944:Circumcision, Male; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013019:South Africa; D013524:Surgical Flaps