Penile skin necrosis: A case report of a rare complication associated with simultaneous circumcision utilizing a disposable circumcision suture device and genital beading surgery

Although the DCSD offers benefits such as reduced operative time and improved cosmetic outcomes compared with conventional circumcision, combining the procedure with genital beading is not recommended due to the increased risk of complications. There are many techniques for reconstructing penile skin loss including split-thickness skin grafts, spiral flap, rotational skin flaps, pedicled skin grafting with vascular anastomosis, etc. Complex reconstruction is not always necessary; single-stage reconstruction with a local flap is a relatively simple but effective approach in certain situations.