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Peer-reviewedCC BYUrology Case Reports

From tragedy to triumph: A case report on the unlikely success of penile replantation following iatrogenic mass circumcision

  • Try Widianto Putra Nugraha1
  • Irfan Wahyudi1
  • Arry Rodjani1
  • Gerhard Reinaldi Situmorang1
  • Putu Angga Risky Raharja2
  1. 1Department of Urology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  2. 2Corresponding author.
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Abstract

Penile amputation is devastating complication of circumcision, and outcomes depend on rapid preservation and timely reconstruction. We report a 4-year-old boy with complete penile amputation during a mass circumcision using electrocautery. The amputated glans was immediately cooled and reached the hospital within 30 minutes; the patient was stable with a viable stump and no active bleeding. Emergency macroreplantation under magnification was performed, spatulated urethral anastomosis over a 10 Fr Foley catheter, layered repair of corpus spongiosum and corpora cavernosa, and loose skin approximation. Recovery was uncomplicated; urinary diversion later managed minor stream splitting, with satisfactory early functional and cosmetic outcomes.

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Cite

BibTeXRIS
BibTeX
@article{nugraha2026from,
  title = {{From tragedy to triumph: A case report on the unlikely success of penile replantation following iatrogenic mass circumcision}},
  author = {Try Widianto Putra Nugraha and Irfan Wahyudi and Arry Rodjani and Gerhard Reinaldi Situmorang and Putu Angga Risky Raharja},
  journal = {Urology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.eucr.2026.103658},
  url = {https://doi.org/10.1016/j.eucr.2026.103658},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - From tragedy to triumph: A case report on the unlikely success of penile replantation following iatrogenic mass circumcision
AU  - Try Widianto Putra Nugraha
AU  - Irfan Wahyudi
AU  - Arry Rodjani
AU  - Gerhard Reinaldi Situmorang
AU  - Putu Angga Risky Raharja
PY  - 2026
DA  - 2026/10/31
JO  - Urology Case Reports
DO  - 10.1016/j.eucr.2026.103658
UR  - https://doi.org/10.1016/j.eucr.2026.103658
AB  - Penile amputation is devastating complication of circumcision, and outcomes depend on rapid preservation and timely reconstruction. We report a 4-year-old boy with complete penile amputation during a mass circumcision using electrocautery. The amputated glans was immediately cooled and reached the hospital within 30 minutes; the patient was stable with a viable stump and no active bleeding. Emergency macroreplantation under magnification was performed, spatulated urethral anastomosis over a 10 Fr Foley catheter, layered repair of corpus spongiosum and corpora cavernosa, and loose skin approximation. Recovery was uncomplicated; urinary diversion later managed minor stream splitting, with satisfactory early functional and cosmetic outcomes.
SN  - 2214-4420
ER  -