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Pediatric Penile Bee Sting
Mirzaman Huseynov1, Ali Cebisli2, Atiye Ozturk2
1From the Departments of Pediatric Surgery.
Insights
Penile bee stings in children are typically mild, with pain and swelling as primary symptoms. Treatment with anti-inflammatory drugs and warm compresses is usually effective, and these stings may resemble summer penile syndrome.
Area of Science:
- Pediatric Urology
- Toxicology
- Dermatology
Background:
- Penile bee stings are rare in pediatric patients.
- Understanding the clinical presentation and management is crucial for appropriate care.
Purpose of the Study:
- To evaluate symptoms, clinical course, and treatment of penile bee stings in children.
- To determine if penile bee stings align with summer penile syndrome characteristics.
Main Methods:
- Retrospective review of pediatric patients with isolated penile bee stings.
- Analysis of patient demographics, sting occurrence, symptoms, and treatment modalities.
Main Results:
- Ten pediatric patients (ages 3-7) presented with pain, swelling, and dysuria.
- Warm saline compresses resolved urinary retention in three patients.
- Erythema resolved within 72 hours in all patients, with no skin necrosis.
Conclusions:
- Penile bee stings in children have a low risk of severe local or urological complications.
- Oral NSAIDs and warm, wet dressings are generally sufficient treatments.
- Symptoms and treatment of penile bee stings are similar to summer penile syndrome.
Objectives:
The aims of this study, for the first time in the literature, are to evaluate the symptoms, clinical course, and treatment management of penile bee stings in children and to discuss whether bee stings can be evaluated within the scope of summer penile syndrome.
Methods:
Records of all pediatric patients presented to the emergency department of our hospital from June 2020 to October 2021 due to bee sting of penis were reviewed. Only patients with isolated penile bee stings were included in the study. Patients were evaluated in terms of the age at presentation, time of occurrence, symptoms, and treatment modality.
Results:
There were 10 patients treated for penile bee sting. Patients ranged in age from 3 to 7 years (mean, 4.2 years). The most common complaints of the patients at presentation were pain (100%), swelling (100%), and dysuria (70%). Three of the patients were unable to void. The gauze moistened with warm saline was applied to the penis of these patients who developed glob, and all of these patients urinated after the warm application. Three of the patients had progressive erythema on the penile skin. These patients were admitted to the pediatric surgery department to monitor whether skin necrosis would develop. In all patients, the erythema regressed significantly within 48 hours and regained its completely normal appearance at the end of 72 hours.
Conclusions:
The probability of the development of serious local reactions and urological problems in penile bee stings is low. Oral nonsteroidal anti-inflammatory drug and warm, wet dressing are usually sufficient to treat local reactions. Penile bee stings may be evaluated within the scope of summer penile syndrome because their symptoms, clinical findings, and treatments are almost similar.
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