Evaluation and management of gunshot wounds of the penis: 20-year experience at an urban trauma center

The Journal of Trauma
David A KunkleMichel A Pontari

Abstract

Although gunshot injuries to the penis occur relatively infrequently in patients with penetrating trauma, they often present dilemmas of subsequent evaluation and management. We review our extensive experience with gunshot wounds to the penis at a high volume urban trauma center. The urologic trauma database was retrospectively reviewed to extract and compile information from the records of 63 patients treated for gunshot wounds to the penis. Data were accumulated for a 20-year period from 1985 to 2004 with regard to findings on physical examination, diagnostic evaluation, associated injuries, management, and outcome. We detail our technique of penile exploration and artificial erection in the management of these injuries. Penile gunshot wounds were associated with additional injuries in 53 of 63 (84%) patients. A total of 48 (76%) patients were taken to the operating room and 44 (70%) penile explorations were performed. Evaluation included retrograde urethrogram in 50 of 63 (79%) patients and was diagnostic for urethral injury in 11 of 12 (92%) cases. Primary urethral repair was performed in 8 of 12 (67%) patients with urethral injury versus 4 of 12 (33%) who underwent urinary diversion by means of suprapubic cystotomy. Evalua...Continue Reading

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Citations

Jun 13, 2018·Arab Journal of Urology·Abdalla M EtabbalAbdalla M Banni
Feb 22, 2013·The Journal of Trauma and Acute Care Surgery·Nadya M CinmanBenjamin N Breyer
Feb 23, 2020·World Journal of Urology·Connor S McCormickJudith C Hagedorn
Feb 22, 2013·The Journal of Trauma and Acute Care Surgery·Marc A BjurlinCourtney M P Hollowell
Sep 2, 2021·Curēus·Morgan Eudy, Natalie Nowak

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