Abstract
Aim: Report the epidemiological, clinicopathological characteristics and ensuring management of recent traumas of the external genitalia in Urology. Methods: This was a descriptive retrospective study of 47 cases of patients suffering from recent traumas of the external genitalia over a period of 5 years. The variables studied were sociodemographic, clinical, paraclinical, therapeutic and evolutionary. Results: A total of 47 patients, including 46 men, were managed. The mean age was 26.8 years, ranging from 6 to 56 years. The circumstances of occurrence were: the missteps of coitus (n = 16), traffic accidents (n = 9) and criminal injuries (n = 8). The fracture of the penis (n = 16) was the most common lesion followed by the scrotal wound (n = 11). The management was medical and surgical and varied by the type of lesion. The outcome was favorable in 91.5% of cases. Conclusion: The incidence of traumas of the external genitalia was 9.4 in urology department in N'Djamena. Penis fracture was the frequent lesion. The management is multidisciplinary, medical and surgical.
Highlights
Recent traumas of the external genitalia (RTEG) are common in men and rare in women [1] [2]
Evolutionary: after medical discharge, patients were regularly followed up every 3 months over a period of 2 years. This follow up was to judge the cosmetic result of external genitalia, the quality of urination and sexual intercourse. ○ Healing was assessed by clinical examination during follow-up consultations in normal or keloid. ○ Urination was assessed by flow measurement. ○ Erection was judged on the rating scale of the erection of 1 to 5. ○ Sexual intercourse were appreciated in the interrogation: possible and satisfactory
Two cases of external genitalia burns with hot water
Summary
Recent traumas of the external genitalia (RTEG) are common in men and rare in women [1] [2]. Due to their anatomical location and instinct of protection that they enjoy, the external genitalia are not exposed to traumatic injuries [3]. Trauma of external genitalia represents 2% - 10% of injuries in general and 27% - 68% of genitourinary. (2015) Recent Injuries of External Genitalia: Clinical Aspects and Management. The lesions often encountered include: fracture of the penis during coitus, thermal burns of external genitalia, criminal or accidental amputation of the penis, bruising of the scrotum and its contents, amputation of the glans during the circumcision, avulsion of the penile skin and tearing of the scrotal skin, bleeding wounds complicating the excision of young girls. Additional examinations including ultrasound, scanner and magnetic resonance imaging (MRI) can sometimes be necessary for definitive diagnosis but should not delay the treatment
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