Trapped Penis and Urinary Retention in a Child with Severe Phimosis After Traditional Circumcision : A Case Report and Literature Review

Abstract

Background: Phimosis is a common indication for circumcision. The finding of a trapped penis with significant penile abscess collection and urinary retention in a male infant following circumcision at home is indeed a rare occurrence.Case History: A 18 months old male child was rushed to the Children's emergency unit with acute urinary retention, grossly swollen and trapped penis. There was a preceeding history of poor urinary stream five weeks following circumcision at home. Examination revealed a child in acute urinary retention with a grossly swollen, soft, fluctuant and tender mass concealing his penis. Abdomino pelvic Ultrasound scan revealed a distended urinary bladder with evidence of back pressure effects on both kidneys. He had immediate urinary diversion via a suprapubic puncture and subsequently in a few hours, had a re-do circumcision. Conclusion:Male circumcision remains the surgical procedure which must be performed by practionner with expertise at hospital, in order to minimise the tragic complications.

Evaluation of phytotherapy in Plantago major and Solanum aculeastrum vs a-blocker treatment of benign prostate hyperplasia by using ipss, clinic and ultrasound in Goma

“…Herbal medicine for HBP ranks alongside α1 blockers and anti 5α reductases in the medical treatment of BPH [11,19] . Voiding disorders due to BPH have a great impact on the quality of life but also are characterized in Africa and the DRC in particular by significant morbidity and mortality mainly due to open surgery, the only recourse in our limited context on the plateau technique [20][21][22][23][24][25][26][27][28] . In Goma, having noted the low attendance of these patients from official health institutions [22] , we conducted a study, which showed us a high prevalence of voiding disorders in elderly males in the city [29] .…”