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Paediatric penile trauma.

M S El-Bahnasawy1, M T El-Sherbiny

  • 1The Urology and Nephrology Centre, Mamsoura University, Egypt. mbahnasawy@yahoo.com

BJU International
|June 26, 2002
PubMed
Summary

Ritual circumcision and hair-tie strangulation are common causes of pediatric penile trauma, with most cases achieving good outcomes. However, animal attacks result in the most severe long-term disabilities.

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Area of Science:

  • Pediatric Urology
  • Trauma Surgery
  • Reconstructive Surgery

Background:

  • Penile trauma in children is a significant concern requiring specialized management.
  • Understanding the common causes and outcomes is crucial for improving patient care.

Purpose of the Study:

  • To review the experience with pediatric penile trauma over 20 years.
  • To identify common etiologies and evaluate treatment outcomes.

Main Methods:

  • Retrospective review of 64 boys hospitalized for penile trauma.
  • Analysis of injury causes, management strategies, and follow-up results.

Main Results:

  • Circumcision (67%) and hair-tie strangulation (16%) were the most frequent causes.
  • Good cosmetic and functional results were achieved in 83% of followed patients.
  • Animal attacks were linked to the highest rate of poor outcomes, including emasculation and severe penile deformities.

Conclusions:

  • Ritual circumcision and hair-tie injuries are leading causes of pediatric penile trauma in the region.
  • Effective functional and cosmetic recovery is achievable for most penile trauma cases.
  • Animal attacks present a high risk for permanent functional and cosmetic impairment.

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