PMC6107900_01
Pre-operative appearance.
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A 25-day old Saudi Arabian newborn was referred to our tertiary-care hospital with post circumcision total phallic loss following circumcision (Fig. 1). Upon separation of the necrotic tissue, the injury was graded as Grade V (Fig. 1).
Immediate post-operative appearance.
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A longitudinal ventral slit was made at the meatus before suturing the edges of the skin graft in order to avoid a circular repair because circular repair is known to predispose to meatal stenosis (Fig. 2).
Appearance 3 weeks after surgery following removal of the urethral catheter. Note the erected penis and the strong stream of urine (arrow). Also note the complete skin graft "take" on the shaft, and the partial graft "loss" at the stump.
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Erection was preserved and a strong stream of urine was observed (Fig. 3).
Appearance after 6 months.
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The parents were satisfied with the result (Fig. 4).