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Isolated Penile Injury in Boys: Accident, Negligence, or Abuse?

Nitin Pant1, Sudhir Singh1, Anand Pandey1

  • 1Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

Journal of Indian Association of Pediatric Surgeons
|July 29, 2021
PubMed

Insights

Penile trauma in boys, often caused by hair tourniquets, requires prompt medical attention. Early intervention and tailored surgical approaches are key to successful outcomes in managing these injuries.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Trauma Management

Background:

  • Isolated penile trauma (PI) in children presents unique challenges in diagnosis and management.
  • Understanding the common etiologies and injury patterns is crucial for effective treatment.

Purpose of the Study:

  • To investigate the causes, clinical presentations, and treatment strategies for isolated penile trauma in pediatric patients.
  • To evaluate the outcomes of various surgical interventions for penile injuries in boys.

Main Methods:

  • A retrospective analysis was conducted on boys treated for isolated penile trauma between 2015 and 2019.
  • Data collected included injury etiology, severity, management approaches, and complications.

Main Results:

  • Nine cases of penile trauma were identified, with penile hair tourniquets being the most common cause (n=5).
  • Injuries ranged from urethral transection and glans loss to total penile amputation and severe burns.
  • Surgical management varied, including urethral anastomoses, flap phalloplasty, and staged urethroplasty, with complications such as infections and fistulas observed.

Conclusions:

  • Isolated penile trauma in boys is a significant concern, with many cases being preventable through parental awareness.
  • Vigilance for potential child maltreatment is essential in cases of penile injury.
  • A staged, individualized surgical approach can lead to satisfactory outcomes in managing complex penile trauma.
Abstract

Keywords:
Abusecircumcisiontourniquettransection

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