Post Traditional Circumcision Penile Skin Degloving in a Five Year Old Boy: Short Discussion

Circumcision is the surgical removal of the prepucial skin of the penis, some of the complications of traditional circumcision includes; sepsis, genital mutilation, redundant prepuce, gangrene of penis, excessive bleeding, penile amputation or urinary retention, others include loss of penile sensitivity, metal stenosis, and urethrocuteneous fi stula. Among the documented complications we did not come across complete degloving of the penile skin, as we found in this 5-year-old patient, who had traditional circumcision with application of some concoction on the penis leading to sloughing of the entire penile skin. A case report of 5-year-old Hausa Muslim boy who after penis skin avulsion presented with a 5 days history of a penile swelling and pain with discharge of purulent material, following a traditional circumcision and application of a concoction on the penis. Examination revealed acutely ill looking boy who was crying warm to touch, he has a degloved penis with sloughs and purulent discharge, the external urethral meatus was partly covered by crust and blood clots, no active bleeding and a diagnosis of post-circumcision degloved penis was made and patient was admitted. Patient was planned for reconstruction and penile coverage with split thickness skin grafting which he had on 5th day of admission, he was placed on parenteral antibiotics, analgesic, and intravenous fl uids and graft site was dressed with Vaseline gauze and he was discharged on 7th day post-operative.