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

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
• Urethrocutaneous fistula
• Surgical repair