Severe External Genitalia Lesion by Firearm: A Case Report

作     者：Mahamat Ali Mahamat Sidi Sougui Choua Ouchemi Olivier Ngaringuem Mohamed Jalloh Lamine Niang Serigne M. Gueye 

作者机构：University of N’Djaména and National General Reference Hospital (HGRN) N’Djaména Tchad Grand Yoff General Hospital (HOGGY) of Dakar Dakar Senegal 

出 版 物：《Open Journal of Urology》 (泌尿学期刊（英文）)

年 卷 期：2015年第5卷第10期

页      面：188-191页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Trauma External Genitalia Gunshot 

摘      要：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.