Successful Composite Grafting of Glans Penis in Pediatric Traumatic Penile Amputation.

Traumatic penile amputation is a rare urologic emergency, more so in the pediatric population. It can result in significant consequences concerning function, appearance, psychological effects, and the overall quality of life. Immediate management should be initiated to salvage the amputated penis. We report a case of a four-year-old boy with a traumatic glans penis amputation caused by a sliding door accident. Successful composite grafting of the glans penis was done with an excellent functional and aesthetic outcome. This case highlights composite grafting as a viable option if microvascular replantation of penile amputation is deemed not feasible. Composite grafting is favorable if the grafted tissue is less than 2cm in size and the tissue is not crushed or contused.

Case Series of Neonatal Extravasation Injury: Importance of Early Identification and Management.

Extravasation injury is a common iatrogenic injury, especially in neonates. Intravenous access is essential in neonatal care, but neonatal extravasation injury is associated with severe morbidity. We present three cases of neonatal extravasation injuries with varying presentations, etiological agents, and timing of management. It shows that extravasation injuries treated with the saline flush-out technique and timely intervention have a superior outcome with almost immediate resolution and subsequent healing with no scars. This is in stark contrast with the lesions treated conservatively with dressings that took more time to heal. We are reminded to be vigilant with infusion therapies and the importance of early detection and prompt treatment in neonatal extravasation injuries.