Purpose <p>We aim to present a single-center experience using this combined technique for phallic reconstruction.</p> Methods <p>Complicated circumcision cases referred to our department from June 2015 to May 2024 were reviewed. We identified consecutive cases who had been presented with grade III to V penile injury and subjected to phallic reconstruction by release of the subcutaneous corporal remnant and covering the exteriorized corporal remnant with a full-thickness skin graft and resurfacing of the glans penis by oral mucosa graft.</p> Results <p>37 male children were identified. Age at surgery ranged from 9 months to 7 years, with a mean operative time of 150&#xa0;min and follow-up of 3 months-5.5 years. Uneventful graft incorporation occurred in 29 patients, with all donor sites healing without morbidity. At 6 months, urethral patency and satisfactory cosmetic outcomes were achieved in all patients. Complications included total skin graft loss in 4 patients, partial skin graft loss in 3, and buccal mucosa graft eschar in 2.</p> Conclusion <p>Fenestrated full-thickness skin grafts for the shaft combined with fenestrated oral mucosa grafts for the glans provide a reliable approach to reconstructing severe post-circumcision penile injuries. This technique provides an encouraging aesthetic and functional result.</p>