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Penile lesion from gunshot wound: a 43-case experience
Andre G Cavalcanti1, Renato Krambeck, Alexandre Araujo
1Section of Urology, Souza Aguiar Municipal Hospital, Rio de Janeiro, RJ, Brazil.
Summary
Gunshot wounds to the penis require prompt surgical intervention for optimal outcomes. Conservative treatment is reserved for rare cases with only superficial penile injuries.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile gunshot wounds are infrequent but severe injuries.
- Management strategies require careful consideration of injury extent.
Purpose of the Study:
- To analyze the diagnosis, treatment, and follow-up of penile gunshot wounds.
- To evaluate outcomes in a cohort of 43 patients.
Main Methods:
- Retrospective analysis of 43 patients with penile gunshot wounds.
- Evaluation of lesion location, associated injuries, diagnostic methods, surgical procedures, and complications.
Main Results:
- 95.3% of patients underwent surgical exploration; 4.7% received conservative treatment.
- Corpus cavernosum involvement occurred in 37 cases; 10 had testicular and 14 had urethral injuries.
Conclusions:
- Immediate surgical intervention is the standard for penile gunshot wounds.
- Conservative management is suitable only for select superficial injuries.