Penile amputation in children is rare and its management difficult due to the paucity of tissue available for reconstruction and the presence of local inflammation secondary to urine extravasation.We report on two cases treated after penile amputation. The latter was due to attempted circumcision in one and ritual amputation for treatment of epilepsy in a village of a developing country in the other. Both patients presented about 2 years after injury and one had had a perineal urethrostomy. Mobilization of the corpora with section of the suspensory ligament was performed for penile lengthening. The urethra was recreated with a buccal mucosa graft in one case whereas urethral advancement was performed in the other. Buccal mucosa grafting was performed as second stage. Skin coverage was obtained with a vascularised local flap or a graft harvested from the inguinal region, respectively. In the case receiving the skin graft the shaft was covered with a layer of adipose tissue mobilised from the scrotum in order to enhance graft adhesion and future mobility of the graft.In both cases there was no penis visible before surgery. Section of the suspensory ligament allowed good lengthening of the penis in both patients. Final position of the urethral meatus was at the tip of the penis in the patient undergoing urethroplasty with buccal mucosa, and mid-shaft in the other. In both cases the skin underwent severe retraction.Corpora mobilization combined with section of the suspensory ligament is effective in achieving a good penile length. The urethra can be reconstructed using buccal mucosa in a staged procedure. Skin coverage remains a problem.