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Organo Oficial de la Sociedad Mexicana de Urología

2017, Number 1

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Rev Mex Urol 2017; 77 (1)

Burns to the genitalia and perineum: General considerations and urologic management

Carrillo-Córdova LD, Carrillo-Esper R, Carrillo-Córdova JR

Language: Spanish
References: 69
Page: 36-49
PDF size: 363.91 Kb.


ABSTRACT

Background: Burns to the genitalia and perineum occur in a small group of patients that require accurate diagnoses, as well as aggressive and opportune management on the part of multidisciplinary teams. Burns to the genitals correspond to approximately 2% of all burn patients in North American case series. The majority of those cases are associated with greater burned body surface areas, in which direct fire and scalding are the most frequent causes. Burn management begins with opportune diagnosis and entails making the correct classification, depending on the depth of the lesion. Once the diagnosis is made, management should be aggressive, directed at preventing the deepening of the burn. Fluid resuscitation is the initial step in treating these patients, and is followed by topical dressings in the case of superficial burns. When there are second or third degree burns, reconstruction will depend on the degree of involvement of the affected tissue. In those cases, skin grafts, locoregional flaps, free flaps, and even phallic reconstruction are among the options. Complications are related to the extension of the burn. Burns to the genitalia and perineum are a severe condition that all urologists should be familiar with and know how to manage.


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