Extensive penile skin defect
Extensive penile skin defects and avulsions are unfortunate occurrences of male circumcision. Avulsion is the forcible tearing away of a body part by trauma or surgery.[1]
Bode et al. (2010) reported 23 very serious injuries from proximal migration of the Plastibell circumcision ring. There was extensive skin loss in 17 (74%) babies. Urethrocutaneous fistulae were the result in nine (39%) of these cases, while partial necrosis of the glans penis occurred in four (17%).[2]
Osifo & Oriaifo (2010) reported on 346 complications of child circumcision in Nigeria. Urethrocutaneous fistula (73, [21.1%]), redundant prepuce (51, [14.7%]), hemorrhage (46, [13.3%]), glandular injury (33, [9.5%]), glandulopenile adhesion (30, [8.7%]), implantation cyst (10, [2.9%]) [Figure 1], proximal migration of plastibell ring (11, [3.2%]) and penile tissues avulsions (17, [4.9%]) were more commonly seen than glandular amputations (9, [2.6%]), transmission of infection (4, [1.2%]), local wound infections and penopubic adhesion (2, [0.6%]).[3]
Gao & Qu (2019) presented the case of a 31-year-old man who presented with extensive defects in his penile skin, infection, and necrosis following a circumcision. A reverse bilateral anterior scrotal flap was used to correct complete penile skin loss following debridement of the infected and necrotic tissue.[4]
References
- ↑
(2004). Avulsion
, The Free Dictionary. Retrieved 23 January 2022. - ↑
Bode CO, Ikhisemojie S, Ademuyiwa AO. Penile injuries from proximal migration of the Plastibell circumcision ring. J Pediatr Urol. February 2010; 6(1): 23-7. PMID. DOI. Retrieved 13 January 2022.
- ↑ Osifo OD, Oriaifo IA. Circumcision mishaps in Nigerian children. Ann Afr Med. October 2009; 8(4): 266-70. PMID. DOI. Retrieved 23 January 2022.
- ↑ Gao QG, Qu W. Penile resurfacing using a reverse bilateral anterior scrotal artery flap. Medicine (Baltimore). December 2019; 98(49): :e18106. PMID. PMC. DOI. Retrieved 23 January 2022.
