PMID: 9529176Apr 7, 1998Paper

Penetrating trauma to the male external genitalia

The Journal of Trauma
K J ClineJ A Eastham

Abstract

We report on 40 patients with penetrating trauma to the external genitalia. Initial evaluation and management, operative findings, and treatment outcomes are reviewed. We retrospectively reviewed the medical records of all patients presenting to our facility with penetrating trauma to the external genitalia since 1988. Of the 40 patients reviewed, 22 sustained isolated scrotal trauma, 10 sustained isolated penile trauma, and 8 had both scrotal and penile injuries. Twenty-nine of the 30 men with scrotal injuries underwent surgical exploration, and 21 of these were found to have injuries to the spermatic cord or testes (in 2 patients, bilateral injuries were noted). The testicular salvage rate was 35%. Penile trauma occurred in 18 patients. Eight corporal injuries and four urethral injuries were managed with debridement and primary repair. Erection and normal voiding was present in all men undergoing reconstruction who returned for follow-up. Thirty-eight percent of tested patients were positive for hepatitis B, C, or both. More than 60% of tested patients were legally intoxicated at the time of injury. Injuries separate from genitourinary trauma were identified in 72% of the men. Early surgical exploration with conservative debr...Continue Reading

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Citations

Feb 6, 2009·Urology·Wolfgang H Cerwinka, Norman L Block
Jun 24, 2004·The Journal of Trauma·Gaurav Bandi, Richard A Santucci
Mar 22, 2007·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Corinne DeurdulianJulia R Fielding
Oct 22, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Shweta Bhatt, Vikram S Dogra
Jul 14, 2004·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Mary KerinsNiall O'Connor
Oct 25, 2011·Journal of Forensic and Legal Medicine·Siddhartha Das, Virendra Kumar
Mar 8, 2006·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Andre G CavalcantiLuciano A Favorito
Aug 10, 2000·BJU International·W F Hendry
Mar 19, 2013·Urologia·Francesca BocchiCarlo Del Boca
Aug 27, 2004·BJU International·Allen F MoreyJack W McAninch
May 24, 2008·The Journal of Urology·Surat PhonsombatJack W McAninch
Jun 7, 2000·The Journal of Urology·J M Cummings, J A Boullier
Oct 14, 2011·BJU International·Jay SimhanJack H Mydlo
Apr 22, 2018·Emergency Radiology·Christopher R McAdams, Andrew J Del Gaizo
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May 20, 2006·Annales D'urologie·T Culty, V Ravery
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Jul 11, 2006·The Urologic Clinics of North America·Jason T Jankowski, J Patrick Spirnak
Oct 18, 2008·Journal of Forensic and Legal Medicine·B Suresh Kumar ShettyRitesh G Menezes

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