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08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Self-inflicted macro urethro-cutaneous fistula.
1Department of Burns and Plastic Surgery, PtBD Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India. dr_rb_singh@rediffmail.com
Asian Journal of Surgery
|August 7, 2009
Summary
A rare case of self-inflicted penile trauma resulted in a urethro-cutaneous fistula. Surgical repair achieved a successful cosmetic and functional outcome for the patient.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Self-inflicted penile trauma is uncommon.
- Penile strangulation can lead to severe complications, including fistulas.
Observation:
- An 18-year-old male presented with a 3 cm coronal macro urethro-cutaneous fistula.
- The fistula resulted from a rope tied around the coronal sulcus for attempted detumescence.
Findings:
- The patient underwent surgical repair of the urethro-cutaneous fistula.
- The postsurgical outcome was unexpectedly successful regarding both cosmetic appearance and functional recovery.
Implications:
- This case highlights the potential for severe penile injury from self-inflicted trauma.
- Successful surgical management is possible even in complex cases of penile fistulas.
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