AI Article Synopsis

  • Circumcision is a common pediatric procedure, but complications can occur, as illustrated by a newborn who developed glans necrosis after the procedure.
  • The newborn received antibiotics and underwent surgical debridement, followed by a successful phalloplasty using a scrotal flap four months later, resulting in an aesthetically acceptable outcome.
  • The case advocates for using a scrotal flap for penile reconstruction and suggests that bipolar electrocautery may reduce the risk of complications compared to monopolar electrocautery during circumcision.

Article Abstract

Circumcision is regarded as one of the most common procedures in pediatrics. We present a case of a newborn, who has undergone circumcision using monopolar electrocautery. He admitted to the hospital with glans necrosis and was treated with antibiotics and surgical debridement. Four months later, phalloplasty was performed for the newborn using scrotal flap. The result is satisfactory, and the penis is esthetically acceptable with effective urination. Our case suggests the use of scrotal flap for penile reconstruction due to feasibility of procedure and anatomic privilege. It would also support usage of bipolar electrocautery for circumcision to avoid possible unwanted complications of monopolar electrocautery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6917469PMC
http://dx.doi.org/10.1093/jscr/rjz351DOI Listing

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