TITLE:
Severe External Genitalia Lesion by Firearm: A Case Report
AUTHORS:
Mahamat Ali Mahamat, Sidi Sougui, Choua Ouchemi, Olivier Ngaringuem, Mohamed Jalloh, Lamine Niang, Serigne M. Gueye
KEYWORDS:
Trauma, External Genitalia, Gunshot
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.10,
October
21,
2015
ABSTRACT: Gunshot wounds to external genitalia are
rare either in war field and civilian setting accounting for 2% - 4% of all
injuries with often a lesion to the urinary tract. We report a case of external
genital injury in a 27 years old man, accidentally injured by his own arm when
he pressed the trigger of his gun placed in his pants. He had no past medical
or surgical history, he presented to the emergency room (ER) with hemorrhagic
scrotal and penile injuries with adjacent urethral tissue damage. He underwent
a scrotal flap urethroplasty, and realignment of the corpus cavernosa and the
tunica albugina. The patient lost his Foley catheter at post-operative day 3
and subsequently developed a urethral stenosis. Gunshot wounds to external
genitalia are rare. A good reconstruction is necessary to avoid an impact on
sexual and voiding function.