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CASE REPORT article

Front. Pediatr.
Sec. Pediatric Urology
Volume 12 - 2024 | doi: 10.3389/fped.2024.1460717

Glans ischemia in a 7-month-old boy, who underwent correction of megaprepuce. Case report and review of the literature

Provisionally accepted
Susanne Kraske Susanne Kraske *Fanny Müller Fanny Müller Vera Schellerer Vera Schellerer
  • University of Greifswald, Greifswald, Germany

The final, formatted version of the article will be published soon.

    Acute glans ischemia is a severe complication that can occur after penile surgery like circumcision, hypospadias repair or disassembly of the corpora in epispadias. This rare condition is described in the current literature, especially after circumcision, although it is the less invasive procedure of the previously mentioned. We present a case of 7-month-old boy who developed glans ischemia after correction of megaprepuce. The condition was treated by intravenous unfractionated heparin. In our case, complication of ischemia was complete dehiscence of the suture line at the coronal sulcus. Glans penis recovered completely and secondary intention wound healing occurred within 4 weeks. We reviewed the literature over the past 43 years (1981 -2023), to describe current options of surveillance, treatment and outcome of glans ischemia after penile surgery in boys.

    Keywords: Glans Ischemia, megaprepuce, Dorsal penile nerve block, Electrocautery, Dressings, Pentoxifylline, Heparin

    Received: 06 Jul 2024; Accepted: 26 Dec 2024.

    Copyright: © 2024 Kraske, Müller and Schellerer. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Susanne Kraske, University of Greifswald, Greifswald, Germany

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