Severe penile injuries: a problem of severity and reconstruction.
BJU Int
; 104(5): 676-87, 2009 Sep.
Article
in En
| MEDLINE
| ID: mdl-19154493
ABSTRACT
OBJECTIVES:
To report our experience of treating severe penile injuries with different causes and treatments, as penile trauma presents a difficult physical and psychological problem, and the type and extent of injury varies from mild to severe, sometimes even with total amputation. PATIENTS ANDMETHODS:
We analysed retrospectively 43 patients (mean age 28 years, range 5-52 years) with severe penile injuries referred to us from March 1999 to August 2007. The causes of penile injuries differed, including iatrogenic trauma (20), traffic accidents (11), burns (three), self-amputation (two), ritual circumcision (two), penile fracture (two), gunshot trauma (two) and electrocution (one). The management required a wide variety of surgical techniques tailored to each patient depending on the type and extent of injury.RESULTS:
The mean (range) follow-up was 47 (10-108) months. The aesthetic and functional results, including satisfactory sexual intercourse were good in 35 patients. There were complications in seven patients; infection after implanting an inflatable penile prosthesis in one, protrusion of a semirigid prosthesis in one, urethral complications (one stenosis and two fistulae) in three and partial skin flap necrosis in two.CONCLUSIONS:
Severe penile injuries should be treated on an individual basis, applying different techniques. However, treatment can be effective and safe only in specialized centres.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Penile Diseases
/
Penis
/
Plastic Surgery Procedures
Type of study:
Etiology_studies
/
Observational_studies
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
BJU Int
Journal subject:
UROLOGIA
Year:
2009
Document type:
Article