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CASE REPORT
Year : 2019  |  Volume : 9  |  Issue : 1  |  Page : 10-12

Delayed presentation of Penile tourniquet syndrome due to hair coil as complete urethral transection: A devastating complication


Department of Pediatric Surgery, AIIMS, Patna, Bihar, India

Correspondence Address:
Dr. Rashi
Department of Pediatric Surgery, AIIMS, Patna - 801 507, Bihar
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ais.ais_21_19

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Penile tourniquet syndrome (PTS) is a condition in which a hair coil is wrapped around the penis causing damage to the urethra and penis. The spectrum of complications due to PTS may range from simple oedema of the penis to complete penile necrosis. We are reporting an 8-year-old boy who presented late to us with complete urethral transection having history of hair coil around penis 3 years back. Examination of the external genitalia revealed complete urethral transection at the coronal sulcus and deeply grooved cut mark at the dorsal part of the glans. The coronal sulcus was shallow and the glans overhanging. The urethral defect was about 0.5 cm. Following evaluation the patient underwent urethral repair by end to end anastamosis and was able to pass urine through the native urethral meatus postoperatively. Most of the cases reported in literature presented soon after the urethral injury unlike the index case which was discovered after 3 years.


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