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Oral Presentation - 13
Circumcision: A safe operation or disastrous complication; Management of sever penile shaft injuries
MS El-Debeiky, HA Soliman
Department of Paediatric Surgery, Ain Shams University, Cairo, Egypt
Background:Circumcision remains to be the oldest known surgical practice to Mankind. For ages, its popularity was based on religious and ethnic backgrounds. Nowadays, there is a growing worldwide acceptance of performing circumcision to all males particularly with the assumptions of decreasing the incidence of genital malignancies as well as sexually transmitted diseases. Despite the vast experience in performing circumcision with various techniques, it is not devoid of complications which are infrequently devastating and difficult to manage. The purpose of this study was to evaluate the outcome of a reconstructed penis after a sever shaft injury following circumcision.Patients & Methods: 14 patients with sever penile shaft injury after circumcision where subjected to staged reconstruction. Based on the remaining corporeal tissues and skin, the reconstruction was planned using local flaps, release of trapped corpora and excision of scar tissues as well as using more distant grafts with urethral reconstruction. Results: All of the 14 patients achieved acceptable penile tissue length, erectile function and distal urethral meatus. Cosmetic appearance although appreciated by the parents is yet not comparable to the original. Discussion: Despite the safety, short learning curve and frequent practice, circumcision seems to present a rare but serious risk. Penile shaft injuries are very challenging to reconstruct and requires a tedious planning and operation. Good results after reconstruction do not affect the necessity of a safe practice for circumcision to avoid the need for such reconstruction