Abstract
Male genital injuries are urological emergencies which if not promptly treated with correct therapeutic interventionmaylead to chances of loss of fertility due to infections and anatomical disruption of normalcy.This study highlights the clinical scenarios, etiology and outcome of malegenitalinjury cases that were managed at a tertiary care center in Nepal.Such injuriesare not frequently encounteredaslack of reportingbypatients means cases are rare.The present study isthefirst from Nepal which depicts a comprehensive report on male genital injuries. Methods:A retrospective analysis of discharge summarieswas carried out and the cases of male genital injuries were reviewed duringJune2020. All the treatedcasesduring thetwo-yearperiod from April 2018 to April 2020at Lumbini Medical College, Nepalwere included in the study. Results:There wereeightcases ofgenitaltrauma admitted and treated during the study period. All thepatients weremales and age ranged fromsixto 71 years with a mean age of33±21.45years. Fall injury and road traffic accidents (RTA) were observed to be the primary cause inthemajority of cases. Conclusion:Superficial injuriestothepenis and scrotum do not require surgical exploration and could be managed conservatively. However,deeperand complicated injuries, testicular preservation, the functionality of the partandcosmetic issuesaretaken into consideration which might requireamulti-disciplinary approach.Apart from themedical issues pertaining togenital injuries, there arelegal and psychological aspects of such eventstoo which should not beignored.
Highlights
Genitals play a vital role in providing passage for metabolic waste along with procreation of new life
The present research is a first from Nepal that attempts to study the cases of male genital trauma in detail to describe the profile of victims, circumstances of injury, modality of treatment and duration of hospital stay
A retrospective review of discharge summaries from the Department of Surgery of the Lumbini Medical College, Palpa, Nepal over the two-year period from April 2018 to April 2020 was conducted to identify patients treated for perineal injuries
Summary
Genitals play a vital role in providing passage for metabolic waste along with procreation of new life. Protected within the groin they escape trauma; injuries are uncommon. There are few case reports from Nepal on male genital injuries, detailed studies describing the victim profile, nature and cause of injuries are a rarity. This study highlights the clinical scenarios, etiology and outcome of male genital injury cases that were managed at a tertiary care center in Nepal. Such injuries are not frequently encountered as lack of reporting by patients means cases are rare. The present study is the first from Nepal which depicts a comprehensive report on male genital injuries. Results: There were eight cases of genital trauma admitted and treated during the study period. Apart from the medical issues pertaining to genital injuries, there are legal and psychological aspects of such events too which should not be ignored
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