González GA, Vázquez MJC, Delgadillo GS, Moreno RLR

Language: Spanish
References: 17
Page: 66-72
PDF size: 153.36 Kb.

ABSTRACT

Background: Traumatic injuries of male genitalia are not frequent. The highest number of reported cases is from the militia. They are present when pelvic injuries and vascular structures are injured. It is common in patients without associated comorbidities. The most common genital injury is a fracture of the penis, only 34% were due to violence and trauma, the remaining are secondary to sexual activities. Injuries to the scrotum and testes have a lower frequency; the most frequent cause is blunt trauma with 85% of cases. Objective: To review the cases of male genital lesions and to describe their characteristics and the initial surgery performed by general surgeons at a specialized trauma center. Material and methods: Retrospective study, observational, descriptive and cross-taking data of patients who suffer from some degree of injury to the penis, scrotum and testes recorded from 2002 to 2008. The independent variables were demographics, mechanism of injury, depth, extent, the existence of other injuries, treatment, days of inpatient stay and mortality. Results: There were 8 patients. The ages range from 12 to 48 years with an average of 25.1 years. Contusion represented 62.5% of cases, the rest presented penetrating trauma. Of the latter 75% had gunshot wound; 85% of this had penile injury. 71% had lesions of scrotum and 57% had testicular injury. 71% of patients had associated lesions. They stayed at the hospital fro an average of 3.8 days. There was a mortality rate of 14%. Discussion: We agree that it is not a common disorder. The mechanism of injury in our series (57% vs. 43% of penetrating vs contusion trauma respectively) had significant differences compared with that found in other studies where they give a clear predominance of 79 to 21% of penetrating against the contusion trauma, other etiologies for injuries of the external male genitalia are human and animal bites as well as falls and burns. When you perform surgical treatment aesthetics and functionality must be taken into account. The hospital stay of patients with lesions in male genitalia is short. The reasons for referring patients for urologic specialty care include: 1) Suspicion of injury to the urethra, 2) disorders of arousal or sexual impotence, 3) partial or total penectomy, 4) Bilateral Orchiectomy. Conclusions: Our annual casuistry is comparable to the largest series reported. Penetrating injuries to male genitalia are more frequent than those caused by blunt mechanism. Because most of the injuries are minor and short in extension, trauma surgeons can resolve them. The complications arising from repair must be seen by a specialist in urology.

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