Abstract
Introduction: Ballistic traumas of the external genitalia are rare especially in civil practice. Emergency surgical exploration is the rule. Case Report: Mr. F.Y., 29 years old, a security agent, admitted to the Urological Emergency Unit of Yalgado Ouedraogo University Hospital of Ouagadougou for trauma of the penile and left purse by firearm. The clinical examination revealed a good hemodynamic status, bladder distension. A suprapubic catheterization was performed. We noted a transfixing and bleeding wound on the penile, and on the left purse which was edematous. The patient was admitted to the operation room 07 hours after trauma. Exploration found a total destruction of the left testicle classified grade 5 of the classification of the American Association of the Surgery of Trauma (AAST). We performed a left orchiectomy. There was a partial rupture of the ventral face of the penile urethra. We performed an end-to-end anastomosis on a Foley catheter CH 18. The Foley catheter was removed after two weeks. Urination was spontaneous without dysuria. Erections were painless and without kinking of penile. Conclusion: Open traumas of the external genitalia are rare and their treatment is an extreme surgical emergency.
Highlights
Ballistic traumas of the external genitalia are rare especially in civil practice
In Burkina Faso, Kambou T. et al reported no cases of ballistic trauma genitalia over a period of eight years [4]
The increased incidence of ballistic trauma could find an explanation in the proliferation of small arms and intensification of crime
Summary
Traumas of the external genitalia by firearms are extremely rare [1]. They mainly affect young population [1]. The time between injury and treatment is an important component of the subsequent functional outcome. Facing this lesional complexity, a question arises: should we immediately repair urethral and corpora cavernosa lesions? Two therapeutic approaches are opposed [3]. The best approach is to consider the risks of infection and the importance of the defect [2]. We report a case to describe the lesion complexity and our therapeutic strategy. We obtained the informed consent from the patient for this study
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