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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.
Archivos Espanoles De Urologia
|April 12, 2001
Summary
Surgical exploration is crucial for genital gunshot injuries. Prompt surgical repair of the penile albuginea yields excellent cosmetic and functional outcomes, preserving sexual potency and voiding.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Genital gunshot injuries are rare but can lead to significant functional and cosmetic deficits.
- Prompt and appropriate management is essential for optimal patient outcomes.
Observation:
- A case of low-velocity, multiple gunshot injuries to the penis was managed surgically.
- The surgical approach involved exploration, foreign body removal, and repair of the tunica albuginea.
Findings:
- The patient achieved good cosmetic and functional results, including preserved sexual potency and normal voiding.
- Prophylactic broad-spectrum antibiotics were administered to prevent infection.
Implications:
- Surgical exploration is mandatory for all genital gunshot injuries.
- A specific surgical technique involving a crown incision and skin denudation facilitates optimal repair of the albuginea.
- This approach leads to excellent cosmetic results and functional recovery in patients with penile gunshot wounds.