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[Genital wound caused by low-speed fire arm]
R Gutiérrez García1, A Roca Edreira, G López Rasines
1Servicio de Urología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
Objective:
To report a case of genital gunshot injuries and review the literature.
Methods:
A case of low velocity multiple gunshot penile injuries is described. Surgical exploration was performed, gunshot removed and the albuginea repaired. A broad spectrum antibiotic was administered prophylactically for infection.
Results:
Good cosmetic and functional results, including sexual potency and voiding, were achieved.
Conclusions:
Surgical exploration is mandatory in genital gunshot injuries. The best approach to the albuginea is by a crown incision and denudation of the penile skin, which permits surgical repair with excellent cosmetic results.