Gunshot wounds of the male external genitalia

The explosive increase of violence in our society has imposed hazards of gunshot injuries on the civilian population. The genitourinary system is no longer exempted from such assaults. Although male external genitalia are amongst less commonly involved organs, in a span of 14 months, 4 such cases were managed at our institute. Our experience of such injuries is being highlighted so as to draw attention to their increasing incidence and association with injuries of other organs. Three patients had haemorrhagic shock at initial presentation. They were managed by resuscitation, debridement and repair of wounds Urethral injuries were dealt initially by diversion and subsequently urethroplasty was performed. In a follow-up of 6-12 months, all the patients were reported to be having normal erections and none of them have developed urethral stricture.