In the Philippines, circumcision is a significant cultural practice, often performed using traditional methods in rural areas. A traditional circumcision method performed by non-medical personnel, sometimes involving the use of unsterile instruments followed by improper dressing techniques. This case study explores the complications arising from a retained foreign body (gauze) following a traditional circumcision performed five years prior

Given that the urethral meatus and the fossa navicularis lumen were fibrotic and atrophied, the patient had to undergo an augmented anastomotic technique wherein a buccal graft was placed dorsally, while the ventral wall was anastomosed directly to reconstitute urethral continuity. The eroded ends of both corpora cavernosa and the corpus spongiosum where likewise anastomosed directly.

At 4 weeks follow-up, the urethral catheter has already been removed and the patient has been voiding freely without any subjective complaints

In conclusion, this case highlights the importance of proper surgical technique, post-operative care and instruction, proper patient education, and timely medical intervention cannot be overstated, particularly in rural or underserved areas where traditional circumcision practices remain prevalent. Raising awareness about the risks of non-medical circumcision and improving access to trained healthcare providers could reduce the occurrence of such complications in the future