Effective composite grafting of sub coronal penile amputation after ritual circumcision(khatna) in a 3-year-old child

Ritual Circumcision is common practice for male children, in Indian Muslims, but if it is done by unsafe local barbers may result in partial or total penile amputation. We report a case of 3-year-old boy presented with total sub coronal penile amputation during ritual circumcision. An attempt at replantation was unsuccessful due to the small lumen of the corporal arteries (< 0.1mm) despite a successful dorsal venous anastomosis. A composite graft of the amputated glans was used with dorsal venous anastomosis was utilized with successful take of the composite graft .