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Constricting band penile injury with urethral transection

Staged reconstruction

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Abstract

Constricting band penile injuries in children may be caused by inadvertent entrapment by a variety of agents including hair, thread, and circumcision dressings. Alternatively, the offending band may have been self-applied or applied by an attendant. Unrelieved, the band causes serious vascular occlusion, progressive tissue necrosis, and injury to the urethra and erectile tissue. We report a case of CBPI in a 12-year-old circumcised boy. The glans was attached to the penile shaft by a tenuous segment of tissue dorsally with complete transection of the urethra. A three-stage reconstruction using a “delayed” groin flap was successful.

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Authors and Affiliations

  1. Section of Pediatric Surgery, Department of Surgery (MBC-40), King Faisal Specialist Hospital & Research Centre, P.O. Box 3354, 1121, Riyadh, Saudi Arabia

    N. Nandagopal, M. Gammas & S. Ahmed

Authors
  1. N. Nandagopal
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  2. M. Gammas
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  3. S. Ahmed
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Nandagopal, N., Gammas, M. & Ahmed, S. Constricting band penile injury with urethral transection. Pediatr Surg Int 10, 574–575 (1995). https://doi.org/10.1007/BF00566506

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  • DOI: https://doi.org/10.1007/BF00566506

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