Near-total penile amputation secondary to hair Torniquet syndrome - Case of a staged repair with a satisfactory outcome

Syed Waqas Ali; Shajie Ur Rehman Usmani; Muhammad Arif Mateen Khan

doi:10.1016/j.eucr.2023.102509

Near-total penile amputation secondary to hair Torniquet syndrome - Case of a staged repair with a satisfactory outcome

Urol Case Rep. 2023 Jul 19:50:102509. doi: 10.1016/j.eucr.2023.102509. eCollection 2023 Sep.

Authors

Syed Waqas Ali¹, Shajie Ur Rehman Usmani², Muhammad Arif Mateen Khan¹

Affiliations

¹ Department of Pediatric Surgery, Dow University of Health Sciences, Baba-e-Urdu Road, Saddar, Karachi, Pakistan.
² Department of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Baba-e-Urdu Road, Saddar, Karachi, Pakistan.

Abstract

Penile Hair Tourniquet Syndrome, a subtype of Penile Tourniquet Syndrome, is a rare condition and a pediatric surgical emergency seen in infants whereby a constricting hair coil strangulates the penis most often at the coronal sulcus, leading to edema, ischemia and necrosis, If untreated, it can potentially lead to development of a urethrocutaneous fistula or even urethral transection and penile amputation. Therefore, a well-timed intervention can prevent complications and lifelong unhappiness. Herein, we present a case of an 11-month-old boy who presented with near total amputation of the glans and underwent two-staged repair with a satisfactory outcome.

Keywords: Hair tourniquet syndrome; Pediatric; Penile amputation; Surgical repair; Urethrocutaneous fistula.

Publication types

Case Reports