<p>Penile Injury During Ritual Circumcision</p>

Penile fracture is an uncommon urological emergency, especially in Bangladesh. The other name is traumatic rupture of the tunica albuginea and corpora cavernosa in the erect penis. It occurs when an erect penis face to buckle under the pressure of a blunt sexual trauma. Patient gives the typical history of immediate detumescence, severe pain, swelling and eggplant deformity of the penile shaft due to penile injury. Immediate surgical exploration and repair of corpora Cavernosa with tunica albugenia is the most effective treatment modality. In normal cases diagnosis is made from history, physical examination alone. In some special cases ultrasonogram, radiological images, including retrograde urethrography or cavernosography are mandatory for proper diagnosis. KYAMC Journal Vol. 10, No.-2, July 2019, Page 122-125

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Complication of Ritual Circumcision in Israel

PEDIATRICS ◽

10.1542/peds.54.4.521 ◽

1974 ◽

Vol 54 (4) ◽

pp. 521-521

Author(s):

M. Frand ◽

N. Berant ◽

N. Brand ◽

Y. Rotem

Keyword(s):

Emergency Room ◽

Newborn Infants ◽

Lower Extremities ◽

Unusual Complication ◽

Blue Discoloration ◽

Ritual Circumcision

We have recently had the opportunity to see 3 cases of a very unusual complication of circumcision. Performers of ritual circumcision in Israel wrap the circumcised penis with a firm, circular bandage for hemostasis. The three newborn infants we saw were brought to the emergency room about a day after the procedure because of restlessness, refusal to eat and occasional vomiting. One of the mothers noticed blue discoloration of her child's legs. On examination, cyanosis of both lower extremities and a huge bladder were found in all three infants.

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Penile allotransplantation for penis amputation following ritual circumcision: a case report with 24 months of follow-up

The Lancet ◽

10.1016/s0140-6736(17)31807-x ◽

2017 ◽

Vol 390 (10099) ◽

pp. 1038-1047 ◽

Cited By ~ 44

Author(s):

André van der Merwe ◽

Frank Graewe ◽

Alexander Zühlke ◽

Nicola W Barsdorf ◽

Amir D Zarrabi ◽

...

Keyword(s):

Case Report ◽

Ritual Circumcision

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Painful attraction: a magnetic penile injury

Journal of the Royal Society of Medicine ◽

10.1258/jrsm.98.3.122 ◽

2005 ◽

Vol 98 (3) ◽

pp. 122-123 ◽

Cited By ~ 3

Author(s):

S. A Rice

Keyword(s):

Penile Injury

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Lesson of the Week: Male ritual circumcision resulting in acute renal failure

BMJ ◽

10.1136/bmj.309.6955.660 ◽

1994 ◽

Vol 309 (6955) ◽

pp. 660-661 ◽

Cited By ~ 7

Author(s):

J D Eason ◽

M McDonnell ◽

G Clark

Keyword(s):

Renal Failure ◽

Acute Renal Failure ◽

Ritual Circumcision

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Jewish Ritual Circumcision

Surgical Guide to Circumcision ◽

10.1007/978-1-4471-2858-8_23 ◽

2012 ◽

pp. 265-274

Author(s):

David A. Bolnick ◽

Kenneth E. Katz

Keyword(s):

Jewish Ritual ◽

Ritual Circumcision

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Unusual presentation of a periurethral abscess following infection with Neisseria gonorrhoea

BMJ Case Reports ◽

10.1136/bcr-2021-246494 ◽

2022 ◽

Vol 15 (1) ◽

pp. e246494

Author(s):

Robin Shepherd ◽

Alexandra Crossland ◽

Rafal Turo ◽

Michelle Christodoulidou

Keyword(s):

Unusual Case ◽

Rare Complication ◽

Health Centre ◽

Contact Tracing ◽

Abscess Drainage ◽

Sexually Transmitted ◽

Neisseria Gonorrhoea ◽

Urethral Fistula ◽

Penile Injury ◽

Urethral Lesion

We describe an unusual case of a male patient presenting with penile and testicular swelling following an unprotected and traumatic sexual encounter. It was suspected that an isolated penile injury occurred during intercourse; however, ultrasound imaging identified an intact tunical layer and right-sided epididymo-orchitis. Following screening for sexually transmitted infections (STIs), he was discharged with antibiotics and advice to attend the Sexual Health Centre for contact tracing. He represented with a periurethral abscess and an antimicrobial-resistant (AMR) strain of Neisseria gonorrhoea was identified. Appropriate antibiotic treatment was initiated. Examination-under-anaesthesia, following abscess drainage, revealed a contained collection with no urethral fistula; however, a flat urethral lesion was seen during urethroscopy. Repeat urethroscopy and biopsy of the lesion indicated polypoid urethritis. Periurethral abscess secondary to gonococcal urethritis is a rare complication, but one that we should be suspicious of, especially with the growing incidence of AMR-STIs.

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