Abstract Number: PB1305
Meeting: ISTH 2020 Congress
Background: Circumcision is the most frequent surgical procedure performed worldwide. Although considered relatively safe, circumcision is associated with several complications. Ischaemia of the glans penis is a rare complication of circumcision, which has been reported to be associated with dorsal nerve block with local anesthetics, cauterisation, tight suture line/dressing, inadequate surgical procedure, or other underlying diseases.
Aims: We describe a ten-year-old obese boy developing severe ischaemia of the glans penis 20 h after circumcision.
Methods: We treated with 10 mg/kg oral pentoxifylline (PTX) for eight days, topical and intravenous antibiotic, and dressing.
Results: Clinical improvement was seen as the colour of the penile glans gradually returned to normal. The patient was discharged at the end of the tenth day.
Conclusions: Glans ischemia should be treated urgently to prevent and avoid permanent damage. Conservative treatment should always be considered as an option. Our single case experience showed that oral pentoxifylline may be recommended as a treatment modality in ischemia of the glans penis with a satisfying result.
To cite this abstract in AMA style:Rahmartani LD, Situmorang GR, Sari TT, Wahyudi I. A Child with Ischemia of the Glans Penis after Circumcision [abstract]. Res Pract Thromb Haemost. 2020; 4 (Suppl 1). https://abstracts.isth.org/abstract/a-child-with-ischemia-of-the-glans-penis-after-circumcision/. Accessed May 6, 2021.
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