Complete penile amputation during ritual neonatal circumcision and successful replantation using postoperative leech therapy

Urology. 2014 Aug;84(2):472-4. doi: 10.1016/j.urology.2014.04.021. Epub 2014 Jun 11.


Circumcision is the most common surgical procedure in males in the United States, and minor complications are not uncommon. Major complications like partial penile amputations have been reported with successful replantation. Complete penile amputations in adult males have been described, and successful replantation has been reported with increasing success. We report a case of complete penile amputation at the penopubic junction using a Mogen clamp in a 7-day-old neonate with replantation using postoperative leech therapy. To our knowledge this is the first time leech therapy has been used postoperatively for neonatal penile amputation.

Publication types

  • Case Reports

MeSH terms

  • Amputation, Traumatic / surgery*
  • Ceremonial Behavior*
  • Circumcision, Male / adverse effects*
  • Humans
  • Infant, Newborn
  • Leeching*
  • Male
  • Penis / injuries*
  • Penis / surgery*
  • Postoperative Care / methods*
  • Replantation*