Urogenital Trauma

Abstract

discussion Purpose: We examine the characteristics, outcomes and incidence of penetrating external genital trauma at our level I trauma center. Materials and Methods: Patient records entered into our urological trauma registry were reviewed from 1977 to August 2006. Results: A total of 110 patients sustained penetrating external genital trauma. Injuries were divided into gunshot wounds (49%), stab wounds/lacerations (44%) and bites (7%). Half of the stab wounds/lacerations were self-emasculation injuries. Operative exploration was performed in 78%, 63% and 75% of gunshot wounds, stab wounds/lacerations and bite injuries, respectively. Of 6 patients with complete penile amputations 5 underwent replantation with an 80% success rate. Testicular injury occurred in 39% and 27% of patients with gunshot wounds and stab wounds/lacerations, respectively. Of the 24 testicles injured via gunshot wounds 18 were reconstructed (75%). Testicular salvage rates were 24% (4 of 17) for self-emasculation stab wounds and 20% (1 of 5) for all other stab wounds/lacerations injuries. Of patients with penetrating external genital trauma 11% also had associated urethral injuries. The incidence of penetrating external genital trauma has remained stable during the last 30 years (r(2) = 0.98). Of patients treated with operative exploration 8% and of those treated nonoperatively 4% reported complications. Conclusions: Conservative débridement of penetrating injuries to the external genitalia should be stressed (75%) compared to stab wounds/lacerations injuries (23%) (p <0.001). A select group of patients with penile -ment of the penetrating external genital injury with minimal morbidity. Evaluation and management of gunshot wounds of the penis: 20-year experience at an urban trauma centerKunkle DA, Lebed BD, Mydlo JH, Pontari MA Department of Urology, Temple University Hospital, Philadelphia, Pennsylvania, USA J Trauma. 2008; 64: 1038-42 Background: 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. Methods: 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