Open Journal of Urology, 2023, 13, 517-524 https://www.scirp.org/journal/oju ISSN Online: 2160-5629 ISSN Print: 2160-5440 DOI: 10.4236/oju.2023.1311057 Nov. 28, 2023 517 Open Journal of Urology Traumatic Penile Amputation Post Circumcision: A Series of 3 Cases Orock Agbor Tanyi 1,2* , Mbassi Achille Aurele 3,4 , Mekeme Mekeme Junior 1,3 , Fouda Jean Cedrick 1,3 , Owon Abessolo 1,3 , Nwatchap Jean Jacques 1 , Awoundja Christain 1 , Pierre Joseph Fouda 1,3 1 Department of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon 2 Surgery Service, Regional Hospital Ngoundere, Ngoundere, Cameroon 3 Urology and Andrology Service, Yaoundé Central Hospital, Yaoundé, Cameroon 4 Department of Surgery and Subspecialties, Higher Institute of Medical Technology, Yaoundé, Cameroon Abstract Circumcision remains a frequently performed surgical procedure and could be associated with various complications, ranging from mild to catastrophic. Penile amputation is a rare and severe complication usually complex and challenging to manage. We describe three cases of penile amputation injuries following circumcision referred within a week at the urological service of the Yaoundé Central Hospital. The first case was a 5-year-old who had complete penile amputation during circumcision by a nurse assistant at a rural health center. The second was a 7-year-old boy who sustained total penile glans amputation while undergoing circumcision by a nurse under local anesthesia at a rural health facility. The third involved a 6-year-old who had total penile amputation with loss of the amputated stump during circumcision by a tradi- tional practitioner at home. Non-microsurgical penile re-implantations were done with diverse outcomes. The preservation of the amputated stump, the ischemic time and the severity of injury are factors affecting surgical out- come. The aim of this study is to evaluate our management experience and outcome of penile amputation injuries in resource-limited settings. Micro- surgical replantation remains the gold standard in the management of penile amputation injuries. However, in resource-limited settings macroscopic rep- lantation could be used as an alternative remedy to salvage the amputated pe- nis. Keywords Circumcision, Penile Amputation, Surgical Management, Complications How to cite this paper: Tanyi, O.A., Au- rele, M.A., Junior, M.M., Cedrick, F.J., Abessolo, O., Jacques, N.J., Christain, A. and Fouda, P.J. (2023) Traumatic Penile Amputation Post Circumcision: A Series of 3 Cases. Open Journal of Urology, 13, 517-524. https://doi.org/10.4236/oju.2023.1311057 Received: October 1, 2023 Accepted: November 25, 2023 Published: November 28, 2023 Copyright © 2023 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access