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Amputation du gland au cours de la circoncision et réimplantation : à propos d’un cas et revue de la littérature
Glans penis amputation due to circumcision and replantation: case report and literature review
Basic and Clinical Andrologyvolume 21, pages269–273 (2011)
Résumé
L’amputation du gland au cours de la circoncision est une complication tragique dont la responsabilité incombe à l’opérateur. Le traitement de référence de cette lésion repose sur la réimplantation microchirurgicale par anastomose vasculaire et nerveuse. Nous rapportons un nouveau cas d’amputation totale du gland d’un enfant de six ans à la suite d’une circoncision et dont la réimplantation a été faite dans l’heure suivant l’accident, sans anastomose microchirurgicale. Avec un recul de plus de sept mois, le résultat obtenu a été jugé bon sur le plan urinaire et érectile de même que sur le plan de la sensibilité et de l’aspect cosmétique du gland.
Abstract
Penile amputation due to circumcision is a tragic complication in which the operator is responsible. The current treatment is based on microsurgical replantation methods by anastomosing penile dorsal vessels and nerves. We report a new case of penile glans amputation due to circumcision in a 6-year-old boy. Replantation was done without microvascular and nerves anastomosis. After 7 months of treatment, the final result was found to be good in terms of the urinary stream, erectile function, sensitivity and morphological aspect of the glans.
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Mots clés
- Circoncision
- Amputation
- Pénis
- Gland
- Réimplantation pénienne
Keywords
- Circumcision
- Amputation
- Penis
- Glans
- Penile replantation
