Taumatic Emergencies of the External Genital Organs

Aguia Brice,Bony Gnissan,Ouattara Fatoumata,Anzoua Kacou,Zouan Fredy,Avion Kouassi Patrice,Camara Sadia,Kramo Nykan,Dje Koffi,Alloka Venance,Akassimadou N’Diamoi

doi:10.4236/oju.2021.116019

Abstract

Background: The traumas of scrotum are often traumas caused by accidents on the public highway or in sport. However, fractures of the penis are secondary to a direct trauma to the penis with rupture of the albuginea causing hematoma, pain and deviation of the penis. Animal bites are rare. Purpose: To describe the management of traumatic emergencies of the external genital organs at the CHU Bouaké. Patients and Methods: Retrospective and descriptive study on the patients treated at Bouaké University Hospital for traumatic emergencies of the external genital organs during the period from January 01, 2012 to December 31, 2018. The parameters studied were epidemiological, clinical and therapeutic. Results: The study period registered 26 patients. The mean age was 34.5 years, Closed trauma to the scrotum was a frequent reason with 30.8%, the trauma sat on the scrotum in 53.8%, the penis in 42.3%, the vulva in 3.8% of cases. The circumstances of discovery of trauma to the penis were dominated by coitus missteps (45.5%), on the stock exchange and vulva by accidents on the public highway (60.8%). Scrotal swelling was the frequent clinical sign (26.9%). Treatment was dominated by surgery in 92.30%. Seven patients (29.16%) underwent exploratory scrototomy associated with hematoma evacuation, five patients (20.83%), a simple trimming, five patients (20.83%), an evacuation of the hematoma associated with a cavernous suture, one patient (4.16%), a trimming associated with a suture of the vulva, one patient (4.16%), a trimming associated with a right orchiectomy. The hospital stay was less than 5 days. The course was simple in 92.30% of the cases; two patients (7.7%) had complications such as testicular necrosis and atrophy which have been treated by orchidectomy. Conclusion: Traumatic emergencies of the external genitalia are rare but serious. Treatment is dominated by surgery.

Highlights

Traumatic emergencies of the external genitalia are relatively uncommon and affect young people [1]
Seven patients (29.16%) underwent exploratory scrototomy associated with hematoma evacuation, five patients (20.83%), a simple trimming, five patients (20.83%), an evacuation of the hematoma associated with a cavernous suture, one patient (4.16%), a trimming associated with a suture of the vulva, one patient (4.16%), a trimming associated with a right orchiectomy
The study took place from January 1, 2012 to December 31, 2018, during which we collected all cases of traumatic External Genitalia Organs (EGO) emergencies that were treated in the department

Summary

Introduction

Traumatic emergencies of the external genitalia are relatively uncommon and affect young people [1]. The etiologies are multiple and the lesions may involve the penis and/or the scrotal contents (testicle, epididymides, cord) in men and the vulva in women The diagnosis of these injuries is most often clinical in the case of open trauma or fracture of the penis, and may involve ultrasound in the case of a large posttraumatic bursa [2]. The management of external genitalia trauma is done in an emergency setting and may include trimming in case of a wound or surgical exploration of the traumatized bursa and cavernous suture for penile fractures [3] This management strategy requires a rigorous clinical evaluation with a precise and complete lesion assessment.

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