Severe penile injuries: a problem of severity and reconstruction.

Abstract

OBJECTIVES:

To report our experience of treating severe penile injuries with different causes and treatments, as penile trauma presents a difficult physical and psychological problem, and the type and extent of injury varies from mild to severe, sometimes even with total amputation.

PATIENTS AND METHODS:

We analysed retrospectively 43 patients (mean age 28 years, range 5-52 years) with severe penile injuries referred to us from March 1999 to August 2007. The causes of penile injuries differed, including iatrogenic trauma (20), traffic accidents (11), burns (three), self-amputation (two), ritual circumcision (two), penile fracture (two), gunshot trauma (two) and electrocution (one). The management required a wide variety of surgical techniques tailored to each patient depending on the type and extent of injury.

RESULTS:

The mean (range) follow-up was 47 (10-108) months. The aesthetic and functional results, including satisfactory sexual intercourse were good in 35 patients. There were complications in seven patients; infection after implanting an inflatable penile prosthesis in one, protrusion of a semirigid prosthesis in one, urethral complications (one stenosis and two fistulae) in three and partial skin flap necrosis in two.

CONCLUSIONS:

Severe penile injuries should be treated on an individual basis, applying different techniques. However, treatment can be effective and safe only in specialized centres.

• Authors: Sava V Perovic, Rados P Djinovic, Marko Z Bumbasirevic, Richard A Santucci, Miroslav L Djordjevic, Dmitry Kourbatov
• Journal: BJU international (BJU Int) Vol. 104 Issue 5 Pg. 676-87 (Sep 2009) ISSN: 1464-410X [Electronic] England
• PMID: 19154493 (Publication Type: Case Reports, Journal Article)

Topics

• Adolescent
• Adult
• Child
• Child, Preschool
• Humans
• Male
• Middle Aged
• Patient Satisfaction
• Penile Diseases (etiology, surgery)
• Penile Prosthesis
• Penis (injuries, surgery)
• Plastic Surgery Procedures (adverse effects, methods)
• Retrospective Studies
• Trauma Severity Indices
• Treatment Outcome
• Urologic Surgical Procedures, Male (adverse effects, methods)
• Young Adult