Surgical Repair of a Partial Penile Amputation From a Hair Tourniquet Under Local Anesthesia

Penile hair tourniquet syndrome is a rare but serious condition necessitating prompt diagnosis. It is defined as a circumferential strangulation of the penis secondary to a hair coil and is predominantly encountered in the pediatric population and seldom in adults. The severity of presentation is governed by the duration of hair strangulation, with prolonged cases often necessitating surgical reconstruction. This case report describes the surgical approach in managing a near-complete penile amputation secondary to a penile hair tourniquet. Due to the patient's comorbidities, the reconstruction was performed under local anesthesia, adding further complexity to this already unique case. At his three-month postoperative appointment, the patient endorsed satisfactory functional outcomes with an excellent cosmetic result. To our knowledge, this is the first report of a surgical reconstruction of a chronic near-complete penile amputation due to a hair tourniquet entirely under local anesthesia.