Management of Traumatic Penile Degloving Injury in a Resource-Constrained Setting: A Case Report and Literature Review.

Genital degloving injuries from motorcycle accidents are uncommon, with most reported cases involving complete devascularisation requiring skin grafting. We present a 70-year-old male who presented to a rural health center following a high-speed motorcycle accident with a unique distal pedicure circumferential penile skin avulsion. The penile skin sleeve remained viable through its distal attachment near the corona, while the proximal end was completely separated at the penoscrotal junction, exposing intact underlying corpora with confirmed urethral continuity. Management consisted of thorough wound irrigation, limited debridement, and simple anatomy reattachment of the viable avulsed skin using 4-0 Prolene sutures, completely avoiding the need for skin grafts. The postoperative course was completed by a superficial bacterial infection on day 3, which resolved with oral linezolid and adjunctive serratiopeptidases. Follow-up confirmed that vascular supply, normal sensation, unimpaired voiding, and preserved sexual function. This case demonstrates that in resource-limited settings, meticulous assessment to confirm tissue viability enables conservative surgical management with excellent outcomes, avoiding the need for advanced techniques or grafts.