Case Series: Iatrogenic Penile Amputation Due to Circumcision
DOI:
https://doi.org/10.61841/cqz35464Keywords:
Circumcision, Guillotine, Iatrogenic penile amputationAbstract
Penile amputation is the most common complications of guillotine circumcision. There are three cases of iatrogenic penile amputation due to circumcision in Saiful Anwar General Hospital Malang in last 5 years. This series contains three cases of iatrogenic penile amputation due to circumcision in Saiful Anwar General Hospital Malang within 2013-2018 and all of them taken from hospital medical record. One of them already done replantation of penile but unsuccessful due to the preserved of the cutout and the ischemic time of the wound. All of them get the injury due to Guillotine technique that perform by unexperienced person. In cases of microphallus, buried penis, hypospadias, epispadias, phimosis and penoscrotal webbing the circumcision should be performed by a surgeon. Guillotine techniques are not safe for patients under 10 years old, because increase the risk of penile injury.
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1. Appiah KAA, Gyasi-Sarpong CK, Azorliade R, et al. Circumcision-related tragedies seen in children at the Komfo Anokye Teaching Hospital, Kumasi, Ghana Pediatric Urology. BMC Urol. 2016;16(1):1-8. doi:10.1186/s12894-016-0183-1
2. Banwari M. Dangerous to mix: Culture and politics in a traditional circumcision in South Africa. Afr Health Sci. 2015;15(1):283-287. doi:10.4314/ahs.v15i1.38
3. DeMaria J, Abdulla A, Pemberton J, Raees A, Braga LH. Are Physicians Performing Neonatal Circumcisions Well Trained? Can Urol Assoc J. 2013;7(7-8):260. doi:10.5489/cuaj.200
4. Thorup J, Cortes Thorup S, Rasmussen Ifaoui IB. Complication rate after circumcision in a paediatric surgical setting should not be neglected. Dan Med J. 2013;60(8):5.
5. Frisch M, Aigrain Y, Barauskas V, et al. Cultural Bias in the AAP ’ s 2012 Technical Report and Policy Statement on Male Circumcision. Pediatrics. 2013;131(4):796-800. doi:10.1542/peds.2012-2896
6. Wang HJ, Yoo JJ. Penile reconstruction. Biomater Tissue Eng Urol. 2009;15(1):470-481. doi:10.1533/9781845696375.3.470
7. Chaim J Ben, Livne PM, Binyamini J, Hardak B, Ben-Meir D, Mor Y. Complications of circumcision in Israel: A one year multicenter survey. Isr Med Assoc J. 2005;7(6):368-370.
8. Basar H, Yilmaz E, Basar MM, Batislam E, Tuglu D. Window technique on circumcision. Int Urol Nephrol. 2006;38(3-4):599-601. doi:10.1007/s11255-005-0249-6
9. Yachia D. Text Atlas of Penile Surgery. Text Atlas Penile Surg. 2007:41-51. doi:10.3109/9780203007198
10. Pippi Salle JL, Jesus LE, Lorenzo AJ, et al. Glans amputation during routine neonatal circumcision: Mechanism of injury and strategy for prevention. J Pediatr Urol. 2013;9(6 PART A):763-768. doi:10.1016/j.jpurol.2012.09.012
11. Biswas G. Technical considerations and outcomes in penile replantation. Semin Plast Surg. 2013;27(4):205-210. doi:10.1055/s-0033-1360588
12. Ince B, Gundeslioglu AO. A salvage operation for total penis amputation due to circumcision. Arch Plast Surg. 2013;40(3):247-250. doi:10.5999/aps.2013.40.3.247
13. Zhu, Y.Preface to the third issue of Journal of Cardiovascular Disease Research(2010) Journal of Cardiovascular Disease Research, 1 (3), pp. 97-98.
DOI: 10.4103/0975-3583.70897
14. Soh, K.L., Yusoff, S.M., Japar, S., Ong, S.L., Halain, A.A., Soh, K.G.A study on oral care practices in intensive care units at two tertiary hospitals in Kelantan(2018) International Journal of Pharmaceutical Research, 10 (4), pp. 21-26.
15. Mohamed Saleem TS, Jain A, Tarani P, Ravi V, Gauthaman K. "Aliskiren: A Novel, Orally Active Renin Inhibitor." Systematic Reviews in Pharmacy 1.1 (2010), 93-98. Print. doi:10.4103/0975-8453.59518
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