Introduction: Circumcision is excision of penil skin that covers glans penis in a certain dimension, for medical or religious moral reasons. When it is performed under unsuitable conditions by untrained person, risk of complicaiton increase dra- matically. Circumcision complications are penile adhesions, skin birdges, meatal stenosis, redundant foreskin, recurrent phimosis and the most serious dehiscence of circumcised penil skin. In this study; 3 patients with total excised penile skin after circumcision reconstructed with full thickness skin graft taken from the groin are presented.

Methods: 3 patients aged 8-11 years old presented to clinic with unhealed wounds after having circumcision by untrained and unauthorized person. In physical examination; excessively cut penile skin from coronal sulcus to root of the penis and granulation tissue was detected. urethra and urethral meatus was intact. After recieving wound site infection control, reconstruction with full thickness skin graft from upper left groin is performed. All patients were hospitalized with urinary catheter to keep the surgical wound clean and closed dressing for five days. urinary catheters are removed at postoperati- ve seventh day. Inguinal incisions were ephitelized and grafts were viable. Patients were followed up for at least 10 months. No graft rejection, urinary disfunction or erection problem were seen.

Conclusions: Circumcision made by untrained nonmedical persons under nonsuitable conditions has higher complication rates. A full thickness skin graft taken from groin without hair root is suitable for reconstruction in skin defects after circum- cision.

Keywords: Circumcision, penile graft, recostruction