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Penile zipper injury
Tatsuo Nakagawa1, Allan G Toguri
1Department of Urology, Nagano Matsushiro General Hospital, Nagano City, Japan. tatsuo-n@mx1.avis.ne.jp
Insights
Penile zipper injuries in children are common emergencies. Successful treatment involves cutting the zipper
Area of Science:
- Pediatric Urology
- Emergency Medicine
- Trauma Surgery
Background:
- Penile zipper entrapment is a common pediatric emergency.
- Accidental penile entrapment in zippers requires prompt medical attention.
Observation:
- Two pediatric cases of penile zipper injury were reported.
- The zipper was successfully removed by cutting the median bar and teeth.
- Minimal trauma to the foreskin was observed post-intervention.
Findings:
- A novel, minimally invasive technique was employed for zipper removal.
- The described method effectively resolved penile entrapment with good outcomes.
Implications:
- This approach offers a safe and efficient solution for penile zipper injuries.
- Emergency departments should be prepared to manage such pediatric trauma cases.
- Early intervention prevents long-term complications associated with penile zipper entrapment.
Objective:
To report 2 cases with pediatric penile trauma due to penile zipper injury.
Clinical Presentation And Intervention:
Two boys presented to the emergency service because of penile zipper injury. The zipper was cut away and removed from the foreskin by cutting the median bar of the sliding piece of the zipper and the zipper teeth with a bone cutter. After opening the zipper teeth, the zipper fell apart, which allowed its removal from their foreskin. There was minimal trauma to the foreskin and the boys were sent home on the same day.
Conclusion:
Penile entrapment in a zipper is a presentation that may be seen in any emergency department. The 2 boys were treated successfully by cutting the median bar of the sliding piece of the zipper.
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