Severe penile fibrotic reaction secondary to a non-absorbable suture: a case report

Abstract

Introduction. Circumcision is one of the most frequent urological surgical procedures in the pediatric population globally. Complications, although rare, can be severe.Clinical case. We present the case of a Senegalese 10-year-old male patient who had undergone ritual circumcision in his early childhood and developed a progressive circumferential tumor in the penile body with no further associated symptoms. Surgical exploration was carried out. A fibrotic-looking penile ring, which was interpreted as an injury secondary to the non-absorbable suturing material used in the previous surgery, was identified. The tissue involved was removed, and on-demand preputioplasty was conducted. Due to technical limitations, the resected tissue could not be analyzed, which means diagnosis could not be histopathologically confirmed. The patient had a favorable progression.Conclusions. This case demonstrates that the medical personnel in charge of performing circumcisions should be adequately trained in order to prevent severe complications.