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GENITAL TRAUMA DUE TO ANIMAL BITES
CRISTIANO M. Gomes1, LEOPOLDO Ribeiro-Filho, AMILCAR M. Giron
1Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
The Journal of Urology
|March 10, 2001
Summary
Animal bites causing genital trauma are rare, with children being most affected. Prompt medical care, including wound cleaning and antibiotics, leads to good outcomes despite injury severity.
Area of Science:
- Urology
- Trauma Surgery
- Pediatric Surgery
Background:
- Animal bites to the external genitalia are infrequent but can cause severe injuries.
- Children represent the most common demographic affected by such trauma.
Purpose of the Study:
- To evaluate the management and outcomes of genital trauma resulting from animal attacks.
- To identify factors influencing morbidity and treatment success.
Main Methods:
- Retrospective review of 10 patients with animal bite-induced genital injuries (1983-1999).
- Analysis of injury severity, surgical interventions, antibiotic prophylaxis, and patient outcomes.
- Inclusion of débridement, wound irrigation, primary closure, and reconstructive procedures.
Main Results:
- Dogs were the most common perpetrators (8/10 patients).
- Five patients required extensive tissue repair, including penile degloving and avulsion injuries.
- Eight out of ten patients achieved satisfactory cosmetic and functional results post-reconstruction.
- No infectious complications were reported due to prompt medical care and antibiotic prophylaxis.
Conclusions:
- Animal bites pose a significant risk for severe genital trauma, particularly in children.
- Effective management involves thorough wound care, appropriate surgical intervention, and prophylactic antibiotics.
- Early medical attention is crucial for preventing infectious complications and achieving favorable functional and cosmetic outcomes.