{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T07:48:10Z","timestamp":1776239290132,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":103,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Urology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Traumatic penile amputations, although rare, represent complex urological emergencies. Cases of iatrogenic origin secondary to circumcision are an exceptionally uncommon but serious etiology. The standard of treatment is microsurgery. However, in many contexts, particularly in developing countries, access to microsurgery is limited, leading surgical teams to resort to reimplantation techniques without microvascular anastomosis, with variable results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>An 8\u2010year\u2010old boy was admitted to our department for complete amputation of the distal third of the penis during a circumcision. The amputated segment was preserved in saline solution. Emergency reimplantation was performed within a 3\u2010h timeframe. The procedure included end\u2010to\u2010end urethrorrhaphy over a stent, cavernorrhaphy, and vascular alignment, all without the use of loupes or an operating microscope. The patient was discharged on the 25th postoperative day with a perfectly viable reimplanted segment and a satisfactory aesthetic and functional outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This case demonstrates that penile reimplantation can be successful in the absence of microsurgery in children, through meticulous technique and aggressive postoperative management of edema in settings with limited technological resources. It also serves as an urgent reminder of the absolute necessity to prevent these tragic accidents through the standardization and medicalization of circumcision practices. Long\u2010term follow\u2010up is essential to assess the erectile and voiding function of this patient.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/criu\/5856486","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T06:57:56Z","timestamp":1776236276000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Iatrogenic Amputation of the Distal Third of the Penis During Circumcision: Successful Reimplantation Without Magnification"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1292-4892","authenticated-orcid":false,"given":"Hassami","family":"Sawadogo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clotaire Alexis Marie Kiemdiba Donega","family":"Yam\u00e9ogo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3444-5035","authenticated-orcid":false,"given":"Abdoul-Karim","family":"Par\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdoul-Karim","family":"Ouattara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatao","family":"Ou\u00e9draogo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harouna","family":"Gnanou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brahima","family":"Kirakoya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8910-0806","authenticated-orcid":false,"given":"Adama","family":"Ouattara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"e_1_2_12_1_2","first-page":"269","article-title":"Glans penis amputation due to circumcision and replantation: case report and literature review","volume":"21","author":"Diabat\u00e9 I.","year":"2011","journal-title":"Andrologie"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.afju.2016.09.004"},{"key":"e_1_2_12_3_2","first-page":"745","article-title":"Glans Reimplantation After Circumcision Accident","volume":"15","author":"Essid A.","year":"2005","journal-title":"Progress in Urology"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(83)90420-8"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF03040733"},{"key":"e_1_2_12_6_2","first-page":"62","article-title":"Penile Replantation, Science or Myth? 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