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CC BY-NC-ND 4.0 · J Reconstr Microsurg Open 2020; 05(02): e95-e100
DOI: 10.1055/s-0040-1718717
Original Article

Two-Stage Pediatric Penile Reconstruction after Postcircumcision Gangrene

Tarek Zayid
1   Department of Plastic Surgery, Al Azhar University, Cairo, Egypt
,
Mohamed O. Ouf
1   Department of Plastic Surgery, Al Azhar University, Cairo, Egypt
,
Amr Elbatawy
1   Department of Plastic Surgery, Al Azhar University, Cairo, Egypt
,
Serag M. Zidan
1   Department of Plastic Surgery, Al Azhar University, Cairo, Egypt
,
Abdelnaser Hamdy
1   Department of Plastic Surgery, Al Azhar University, Cairo, Egypt
,
Hany Ismail
1   Department of Plastic Surgery, Al Azhar University, Cairo, Egypt
,
Khallad Sholkamy
1   Department of Plastic Surgery, Al Azhar University, Cairo, Egypt
,
Hazem Dahshan
1   Department of Plastic Surgery, Al Azhar University, Cairo, Egypt
,
Wael Ayad
1   Department of Plastic Surgery, Al Azhar University, Cairo, Egypt
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Abstract

Background Postcircumcision penile gangrene is a devastating complication that may lead to total or subtotal penile loss requiring penile reconstruction. Pediatric penile reconstruction poses diverse challenges for most plastic surgeon.

Patients and Methods Retrospective cohort study of 12 children ranged from 6 to 36 months old suffered from total or partial penile loss secondary to electrocautery burn during circumcisions. Reconstruction was done by island groin flap for phallus in first stage and urethral reconstruction by tubularized scrotal flap 6 months later. The outcome was evaluated by assessment of flap survival, the esthetic appearance, urethral competence and rate of complication.

Results Follow-up was ranged from 6 to 24 months. A new phallus of satisfactory dimensions was achieved in all cases. Complications included partial necrosis of the flap in two cases, fistulas in two cases, and stenosis of the urethral anastomosis in one case. These complications were successfully resolved by corrective surgery. Good satisfactory result regarded as shape and urination stream.

Conclusion Penile reconstruction can be performed in children with good results and low complication rate. The use of island groin flap for phallus reconstruction followed by urethral reconstruction by tubularized scrotal flap 6 months later was found effective, time saving, and with minor complication.

Keywords

groin flap - penile reconstruction - tubularized scrotal flap - circumcision - penile gangrene


Publication History

Received: 24 June 2020

Accepted: 25 August 2020

Article published online:
22 October 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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