Introduction. Dry gangrene of the foreskin following corrective surgery for congenital penile curvature (CPC) or Peyronie's disease is extremely rare. It is noted as a consequence of intraoperative penile degloving.
Aim. We report one such case with its natural history presented by serial clinical pictures, discuss the management dilemmas, and review a rather scant relevant literature.
Methods. A 32-year-old man with CPC underwent prepuce-sparing corrective surgery for penile curvature on two occasions resulting in dry gangrene of the foreskin following the second attempt.
Results. It was managed conservatively with a satisfactory result.
Conclusion. Gangrene of the foreskin is most likely to occur as a complication after a second attempt at prepuce-sparing surgery. It can be managed nonsurgically with a satisfactory outcome. Chitale S, and Sethia K. Dry gangrene of the foreskin after second attempt at prepuce-sparing surgery for congenital penile curvature: Case report and literature review. J Sex Med **;**:**–**.