Penile trauma secondary to aggression - particularities and prognosis
Multescu, R1; Stan, M1; Iordache, V1; Georgescu, D1; Geavlete, B1; Bucur, C1; Geavlete, P1
1: "Saint John" Emergency Clinical Hospital, Romania
Objective: In a significant number of case, penile trauma secondary to aggression are a surgical emergency. The aim of this paper is to evaluate their pre-, intra- and postoperative characteristics, with the presentation of one such case.
Material and methods: During the last 5 years, 9 patients were admitted with penile trauma secondary to aggression. Four cases presented bite wounds of penile skin, without lesions of the corpora cavernosa or spongiosum, one bite wound with lesions of a corpus cavernosus and 4 cases with stabbed penile wounds.
Results: Toilet and suture of the skin wounds was performed. Corpora cavernosa or corpus spongiosum lesions were sutured. Postoperative evolution was favorable in all cases. Patient BG presented in hemorrhagic shock, with stabbing penile wounds The knife enters the dorsal face of the penis, sectioning corpora cavernosa and the spongiosum/urethra (without lesions of dorsal arteries and veins), exits through the ventral face, enters the scrotum, without touching the testicles but sectioning again the spongiosum and with longitudinal sections on the corpora cavernosa, exits through the perineum and producing a penetrating wound in the upper right thigh. Suture of the corpora cavernous, spongiosum, muscles and skin was performed, with favorable postoperative evolution and suppression of the urethral catheter after 4 weeks. The patient presents normal micturitions and erection.
Conclusions: Penile trauma is very often complex, due to the architecture of the area, with multiple layers overlapping in a reduced space. Important blood supply creates a significant shocking potential for these wounds.
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