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Staged penile reconstruction with pedicled groin flap for penile shaft necrosis following circumcision
  1. Abdallah Abdelrhman Rahamah Musa1,2 and
  2. Osama Murtada Ahmed1,3
  1. 1Division of Surgery, Plastic Surgery Department, Omdurman Teaching Hospital, Omdurman, Khartoum, Sudan
  2. 2Plastic and Craniofacial Surgery Division, Sidra Medicine, Doha, Qatar
  3. 3Sudan Medical Specialization Board, Khartoum, Sudan
  1. Correspondence to Dr Abdallah Abdelrhman Rahamah Musa; abdrahamah20{at}


A 10-year-old boy was referred by urologist to plastic surgery department with penile shaft necrosis after debridement of necrotic tissue and dry eschar that extends from the glans to the penile root and was started to separate. Also, they managed to insert urethral catheter. He had traditional circumcision 2 weeks earlier performed at home by a traditional health practitioner, resulting in full-thickness tissue loss involving skin and corpora cavernosa with sparing of the glans which was attached by stalk of scared tissue enveloping the spongiosum. After assessment and analysis of the defect was done, two-stage pedicled groin flap reconstruction was performed with satisfactory results. In this report, we are demonstrating procedure steps and outcome.

  • circumcision
  • plastic and reconstructive surgery
  • paediatric surgery
  • urological surgery

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  • Contributors AARM: conception and design, analysis, acquisition of data and interpretation and article draft. OMA: revising, editing and final approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.