title: Complete penile amputation during ritual neonatal circumcision and successful replantation using postoperative leech therapy.
abstract: Circumcision is the most common surgical procedure in males in the United States, and minor complications are not uncommon. Major complications like partial penile amputations have been reported with successful replantation. Complete penile amputations in adult males have been described, and successful replantation has been reported with increasing success. We report a case of complete penile amputation at the penopubic junction using a Mogen clamp in a 7-day-old neonate with replantation using postoperative leech therapy. To our knowledge this is the first time leech therapy has been used postoperatively for neonatal penile amputation.
authors.affiliation: Division of Pediatric Urology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA. Electronic address: banihanioi@upmc.edu.
authors.forename: Omaya I
authors.initials: OI
authors.lastname: Banihani
authors.affiliation: Division of Urology, Naval Medical Center Portsmouth, Portsmouth, VA.
authors.forename: Janelle A
authors.initials: JA
authors.lastname: Fox
authors.affiliation: Division of Pediatric Plastic Surgery, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
authors.forename: Brian H
authors.initials: BH
authors.lastname: Gander
authors.affiliation: Division of Pediatric Plastic Surgery, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
authors.forename: Lorelei J
authors.initials: LJ
authors.lastname: Grunwaldt
authors.affiliation: Division of Pediatric Urology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
authors.forename: Glenn M
authors.initials: GM
authors.lastname: Cannon
mesh_terms: D000673:Amputation, Traumatic / Q000601:surgery*; D002562:Ceremonial Behavior; D002944:Circumcision, Male / Q000009:adverse effects*; D006801:Humans; D007231:Infant, Newborn; D024763:Leeching; D008297:Male; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods*; D012092:Replantation