CASE REPORT article
Front. Surg.
Sec. Pediatric Urology
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1626866
Case Report: Adjunctive Hyperbaric Oxygen Therapy in Pediatric Glans Reimplantation Following Penile Trauma
Provisionally accepted
- 1University of Louisville, Louisville, United States
- 2norton healthcare, Louisville, United States
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Pediatric penile trauma is a rare urological emergency, and evidence-based guidelines for complex tissue salvage are limited. We report the case of an eight-year-old boy who presented six hours after sustaining a partial ventral glans avulsion. The patient underwent evaluation under general anesthesia followed by delayed surgical reimplantation of the avulsed glans tissue. As an adjunct to surgery, he received ten consecutive sessions of hyperbaric oxygen therapy (HBOT). Post-treatment follow-up demonstrated complete graft integration, excellent cosmetic outcome, preserved urinary function, and no complications. This case underscores the potential of HBOT to enhance graft viability and recovery in the setting of delayed reimplantation. Drawing on prior experience with graft-based reconstruction in complex hypospadias reoperations, HBOT may serve as a valuable adjunct in pediatric penile trauma involving complex tissue loss, offering a promising strategy to improve outcomes in similarly challenging reconstructive scenarios.Penile trauma in the pediatric population is rare but can result in significant tissue loss requiring complex reconstruction (1). In severe cases, avulsion injuries may necessitate delayed grafting due to loss of viable skin or tissue (2). We report a case of partial glans avulsion in an 8-year-old boy, in which the avulsed portion of the glans was successfully reimplanted approximately six hours after the injury. The unique aspect of this case lies in the use of adjunctive hyperbaric oxygen therapy (10 sessions) to enhance graft viability. This approach resulted in complete reintegration of the tissue without any necrosis or loss, despite the delayed reimplantation.We present the case of an 8-year-old boy who sustained a penile injury under unclear circumstances. At the time of the incident, the child was unsupervised. His grandparents were present in the home but were not directly attending to him, and his parent was away. According to the history provided by the family, the injury occurred when the toilet seat accidentally fell while the child's penis was
Keywords: case report, pediatric penile trauma, hyperbaric oxygen therapy, partial glans avulsion, tissue reimplantation, graft viability
Received: 11 May 2025; Accepted: 11 Jul 2025.
Copyright: © 2025 Amoudi, Carreno Galeano and Canalichio. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Gabriel Leonardo Carreno Galeano, University of Louisville, Louisville, United States
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