Korean J Urol.  2011 Feb;52(2):147-149.

Amputation of Glans Penis: A Rare Circumcision Complication and Successful Management with Primary Anastomosis and Hyperbaric Oxygen Therapy

• Faydaci G
• Ugur K
• Osman C
• Sermin S
• Bilal E

Abstract

Penile amputation is an uncommon condition that requires immediate surgical replantation. Routine standardized procedures for dealing with this medical condition do not exist. We describe a case of complete guillotine-type glans penis amputation and review the relevant literature. We performed urethral end-to-end approximation and glanular anastomosis and then applied hyperbaric oxygen therapy postoperatively. We obtained very good cosmetic and functional results.

Keyword

Amputation; Circumcision; Penis

MeSH Terms

Amputation
Circumcision, Male
Cosmetics
Female
Hyperbaric Oxygenation
Male
Penis
Replantation
Cosmetics

Figure

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  FIG. 1 (A) Guillotine type penile amputation. (B) Amputated part of the glans penis.

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  FIG. 2 Appearance of the penis and urethral stent postoperatively.

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  FIG. 3 Partial superficial necrosis of the penis on the 7th postoperative day.

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  FIG. 4 Appearance of the penis at the end of hyperbaric oxygen therapy on the 30th postoperative day.

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