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Penile injuries in children
1General Pediatric Surgery, Cadi Ayyad University, Mother and Child Unit, Mohamed VI Teaching Hospital, Marrakesh, Morocco.
Insights
Pediatric penile injuries are common, with circumcision accidents being the most frequent cause. Improved circumcision practices are crucial for preventing these challenging injuries in children.
Area of Science:
- Pediatric Urology
- Trauma Surgery
Background:
- Penile injuries in children are a notable clinical concern.
- Understanding the etiology and management is essential for optimal outcomes.
Purpose of the Study:
- To determine the causes of penile injuries in pediatric patients.
- To review the management strategies for these injuries.
Main Methods:
- Retrospective analysis of penile injuries from January 2009 to January 2017.
- Exclusion of minor post-circumcision complications like hemorrhage and excess mucosa.
Main Results:
- Circumcision accidents were the most common cause, followed by trauma, strangulation, and electrocution.
- Surgical interventions included penile and glans re-implantation, phalloplasty, and fistula repair.
- Most patients healed without complications, though four experienced fistula recurrence.
Conclusions:
- Penile injuries in children present significant management challenges.
- Enhanced circumcision protocols can prevent a majority of these accidents.
Objective:
Penile injuries are not rare in children. Our aim is to establish their causes and to report our experience in the management of those accidents.
Material And Methods:
A retrospective study of all penile injuries presented from January 2009 to January 2017 was performed. Hemorrhage and excess of mucosa or skin remnants are the most frequent and benign injuries after circumcisions, so they were excluded from the study.
Results:
Four groups were reported including the circumcision accident group, the traumatic accident group, the strangulation group and the electrocution group. The most frequent cause was circumcision accidents. We performed a penile re-implantation in one, and a glans re-implantation in another patient. Two patients underwent phalloplasty using the stumps of the remaining corpora cavernosa. We performed nine fistulae repair. Follow up showed healing without complication in the majority of the patients but recurrence of fistula was witnessed in four patients.
Conclusion:
Penile injuries are frequent with a challenging management. Most of the accidents can be prevented by improving conditions of circumcision.
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