Circumcision remains a frequently performed surgical procedure and could be associated with various complications, ranging from mild to catastrophic. Penile amputation is a rare and severe complication usually complex...Circumcision remains a frequently performed surgical procedure and could be associated with various complications, ranging from mild to catastrophic. Penile amputation is a rare and severe complication usually complex and challenging to manage. We describe three cases of penile amputation injuries following circumcision referred within a week at the urological service of the Yaoundé Central Hospital. The first case was a 5-year-old who had complete penile amputation during circumcision by a nurse assistant at a rural health center. The second was a 7-year-old boy who sustained total penile glans amputation while undergoing circumcision by a nurse under local anesthesia at a rural health facility. The third involved a 6-year-old who had total penile amputation with loss of the amputated stump during circumcision by a traditional practitioner at home. Non-microsurgical penile re-implantations were done with diverse outcomes. The preservation of the amputated stump, the ischemic time and the severity of injury are factors affecting surgical outcome. The aim of this study is to evaluate our management experience and outcome of penile amputation injuries in resource-limited settings. Microsurgical replantation remains the gold standard in the management of penile amputation injuries. However, in resource-limited settings macroscopic replantation could be used as an alternative remedy to salvage the amputated penis.展开更多
Penile glans amputation is a tragic complication of circumcision. Beyond the psychological trauma parents go through, they have to deal with the lower urinary tract symptoms including acute urine retention their baby ...Penile glans amputation is a tragic complication of circumcision. Beyond the psychological trauma parents go through, they have to deal with the lower urinary tract symptoms including acute urine retention their baby boys suffer due to meatal stenosis from the scaring process that ensues. We report on the cosmetic and functional outcomes in two patients ten years after neo-glans reconstruction following total glans amputation as a complication of circumcision and discuss the lessons learned over the period.展开更多
<strong>Objective: </strong>To report the diagnostic aspects and the therapeutic difficulties of this disease, to contribute to the prevention and screening of this cancer and propose a diagnostic, therape...<strong>Objective: </strong>To report the diagnostic aspects and the therapeutic difficulties of this disease, to contribute to the prevention and screening of this cancer and propose a diagnostic, therapeutic and psychological management of penile cancer of patients at Bouaké University Hospital Center based on a short series of three (03) observations. <strong>Patients and Method:</strong> Over a period of five years (January 2012 to December 2017), we collected three (03) cases of cancer of the penis. <strong>Results: </strong>A total of three (03) cases of epidermoidal carcinoma of the penis were diagnosed. The average age of the patients is [52 years], all of them of low socio-economic level. Two (02) patients (n = 2) categorically refused surgical treatment (penile amputation) and one (01) patient was lost to follow-up. Two patients are currently deceased. <strong>Conclusion:</strong> Penile cancer has been an aggressive tumor with a pejorative prognosis, due to the delay of consultation in our underdeveloped countries. Patients consult late but above all refuse any idea of surgical treatment on the penis. The effort to be made is to insist on the prevention and screening of penile precancerous lesions by an adequate training of urban medical staff by a squad of specialists (urologists, oncologists and dermatologists).展开更多
文摘Circumcision remains a frequently performed surgical procedure and could be associated with various complications, ranging from mild to catastrophic. Penile amputation is a rare and severe complication usually complex and challenging to manage. We describe three cases of penile amputation injuries following circumcision referred within a week at the urological service of the Yaoundé Central Hospital. The first case was a 5-year-old who had complete penile amputation during circumcision by a nurse assistant at a rural health center. The second was a 7-year-old boy who sustained total penile glans amputation while undergoing circumcision by a nurse under local anesthesia at a rural health facility. The third involved a 6-year-old who had total penile amputation with loss of the amputated stump during circumcision by a traditional practitioner at home. Non-microsurgical penile re-implantations were done with diverse outcomes. The preservation of the amputated stump, the ischemic time and the severity of injury are factors affecting surgical outcome. The aim of this study is to evaluate our management experience and outcome of penile amputation injuries in resource-limited settings. Microsurgical replantation remains the gold standard in the management of penile amputation injuries. However, in resource-limited settings macroscopic replantation could be used as an alternative remedy to salvage the amputated penis.
文摘Penile glans amputation is a tragic complication of circumcision. Beyond the psychological trauma parents go through, they have to deal with the lower urinary tract symptoms including acute urine retention their baby boys suffer due to meatal stenosis from the scaring process that ensues. We report on the cosmetic and functional outcomes in two patients ten years after neo-glans reconstruction following total glans amputation as a complication of circumcision and discuss the lessons learned over the period.
文摘<strong>Objective: </strong>To report the diagnostic aspects and the therapeutic difficulties of this disease, to contribute to the prevention and screening of this cancer and propose a diagnostic, therapeutic and psychological management of penile cancer of patients at Bouaké University Hospital Center based on a short series of three (03) observations. <strong>Patients and Method:</strong> Over a period of five years (January 2012 to December 2017), we collected three (03) cases of cancer of the penis. <strong>Results: </strong>A total of three (03) cases of epidermoidal carcinoma of the penis were diagnosed. The average age of the patients is [52 years], all of them of low socio-economic level. Two (02) patients (n = 2) categorically refused surgical treatment (penile amputation) and one (01) patient was lost to follow-up. Two patients are currently deceased. <strong>Conclusion:</strong> Penile cancer has been an aggressive tumor with a pejorative prognosis, due to the delay of consultation in our underdeveloped countries. Patients consult late but above all refuse any idea of surgical treatment on the penis. The effort to be made is to insist on the prevention and screening of penile precancerous lesions by an adequate training of urban medical staff by a squad of specialists (urologists, oncologists and dermatologists).
