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Grinding machine: friend or foe
I A Adigun1, S A Kuranga, L O Abdulrahman
1Division of Plastic & Reconstructive Surgery, Department of Surgery, University of Ilorin Teaching Hospital, P. M. B. 1459 Ilorin, Kwara State, Nigeria.
West African Journal of Medicine
|April 1, 2003
Summary
A 12-year-old boy underwent penile reconstruction using corporal cavernosa phalloplasty after traumatic amputation. This surgical technique offers a viable solution for penile reconstruction in resource-limited settings.
Area of Science:
- Urology
- Trauma Surgery
- Pediatric Surgery
Background:
- Traumatic external genitalia injuries are infrequently reported globally.
- Grinding machines are prevalent in developing countries, often operated by untrained minors.
- Genitourinary injuries, including penile amputation, are significant risks associated with these machines.
Observation:
- A 12-year-old male presented with complete penile amputation 18 hours post-injury.
- The injury was sustained while operating a grinding machine.
- The patient's age and the delay in presentation posed challenges for treatment.
Findings:
- Penile reconstruction was successfully performed using corporal cavernosa phalloplasty.
- This reconstructive method addresses the complete traumatic loss of the penis.
- The surgical approach was tailored to the patient's specific circumstances and resource availability.
Implications:
- Corporal cavernosa phalloplasty provides a feasible reconstructive option for penile amputation in resource-limited settings.
- This technique may be a valuable alternative where microvascular surgery or other advanced reconstructive methods are unavailable.
- The study highlights the critical need for safety measures and training for minors operating machinery to prevent such devastating injuries.