Peno-scrotal degloving injury following motor vehicle accident—a case report

Abstract

Male genital injuries in the form of avulsed laceration of penis and scrotum are less frequent injuries in urological practice. The cases that occur are mostly caused by road traffic accidents, animal attacks, machinery-related accidents and physical/sexual assaults. Here, we report a case of a 28-year-old male with avulsion and traumatic degloving of the penile and scrotal skin with the exposure of the cavernous and spongy penile body, bilateral testes and total amputation of scrotal skin secondary to motor vehicle accident from Nepal. The patient was managed by emergency surgical debridement and reconstruction of the avulsed penile skin and burial of testis in the medial thigh pockets with primary suturing and hemostasis of the amputated scrotal region, which healed with satisfactory esthetic results with normal voiding function and erection of penis.

Blunt Trauma Resulting in Testicular Evisceration: A Case Report

“…AAST Injury Scales have been created to characterize both scrotal trauma and testicular trauma [ 9 ]. Other than degloving injuries, which are also quite rare, isolated high-grade scrotal injuries with low-grade testicular injuries have not often been described in the literature [ 8 ]. Thus, this particular case is unique.…”

“…We present a unique injury of scrotal rupture with complete evisceration of a viable testicle without testicular rupture due to blunt trauma. Such cases have rarely been reported previously [8]. This study was approved by the hospital Institutional Review Board, and need for informed consent was waived.…”

Bilateral abdominal spermatic cord section following peno-scrotal injury

“…This increased incidence in males is secondary to both anatomical considerations and increased participation in activities such as contact sports, violent interaction, and war activities. 4 Avulsion injuries resulting in skin loss are typically a result of rapid deceleration mechanisms; the management of penoscrotal avulsion includes a thorough cleaning and debridement of devitalized tissues and the exposed tissues are covered with viable flaps from the remaining skin.…”

“…Although injuries of genitalia are non-lethal, the lesions could be incapacitating and psychologically overwhelming to patients if not treated appropriately. 1 , 2 , 3 , 4 …”