Restoration of the penis following amputation at circumcision: Shaeer's A-Y plasty.
BACKGROUND
Male circumcision is one of the most commonly performed procedures worldwide. It has an estimated complication rate ranging from 0.1% to 35%. Amputation of the shaft is one of the most devastating complications reported, resulting from entrapment of the phallus between the blades of the clamp or from thermal injury due to the application of unipolar diathermy.


OBJECTIVE
In this work, I describe the guidelines I adopted in the management of 32 male patients afflicted with amputation of the shaft of the penis upon circumcision.


METHODS
"Shaeer's A-Y plasty" was performed for all patients, whereby the proximal corpora and crura were released from their attachment to the pubis and were advanced forward by insetting a specially configured fat flap into the resultant cavity. Skin grafts were used to cover the released penis.


RESULTS
In all 32 cases, the released penis was within the normal range of penile length, and was cosmetically and functionally acceptable.


CONCLUSIONS
"Shaeer's A-Y plasty" is capable of restoring the native phallus following amputation, with preservation of both gender identity and physiological characteristics of the penis to a large extent.
Shaeer
Osama
O
Department of Andrology, Faculty of Medicine, Cairo University, Egypt. Electronic address: dr-osama@link.net.
D000673:Amputation, Traumatic / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D002944:Circumcision, Male / Q000009:adverse effects*; D004534:Egypt; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries / Q000473:pathology* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome