Management of External Genitalia Gunshot Injuries and Traumatic Avulsions in Civil and Military Conflicts

Shaw, Nathan M.; Alhajeri, Faisal; Venkatesan, Krishnan

doi:10.1007/978-3-030-21447-0_54

Cited by 1 publication

(2 citation statements)

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“…Further exploring the burden of penile gunshot wounds on a more narrow level, it represents 50%–90% of penetrating injuries to the external genitalia. [ 27 ] The occurrence of intentional penile trauma from gunshot (90.7%) is over nine times the frequency of accidental penile trauma from this type of missile injury (9.3%). [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 25 ] Other sexual functional problems include long-term erectile dysfunction following injury to the corpora cavernosa, which is documented to occur in 10%–25% of patients. [ 27 ] However, this figure might be lower for patients with penile fracture as Furr and Culkin[ 2 ] documented a high potency rate of 87%–100% with optimal management. There could also be the development of pain during intercourse.…”

Section: Discussionmentioning

confidence: 99%

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Penile trauma burden and aetiology in the paediatric and adult population: A scoping review and critical analysis of the literature

Tolani,

Webber,

Buckley

2023

J West Afr Coll Surg

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Penile trauma is rare. It is associated with the impairment of physiological functions and deterioration in patients’ quality of life. Currently, the relevance of age demographics in the occurrence of this debilitating injury has not been well discussed. The objective of this study was to provide a scoping review of penile trauma within the lens of the legal age of maturity. A search of the PubMed, Scopus and Web of Science databases was conducted, and then, the identified publications were used to conduct this scoping review focussing on the study aim. The results identified were categorised into five themes. This included publication information (author, year, country, study duration); demographic information (age of presentation, number of patients, relative burden); penile trauma clinical pattern (type, severity, associated injury), risk factors and clinical consequences. While mobile and active young adults were at risk of outdoor trauma, the report on penile trauma in the paediatric population is rare and usually focussed on sexual trauma. Penetrating trauma has been more extensively studied in comparison to blunt penile trauma despite the significance of the latter in the paediatric population. Injury severity classification is not available for most studies limiting their usefulness in the universal comparison of trauma severity and injury prognostication. There is a diversity in the burden and presentation of penile trauma. Available research studies are limited in the paediatric population, mostly focussed on penile fracture in adults and generally devoid of a standardised penile trauma severity description. Additional studies with a specific focus on penile trauma are required to characterise aetiological risks and injury severity across the legal age of maturity.

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Section: Discussionmentioning

confidence: 99%