Self-inflicted gunshot injury to the external genitalia: a case report and review of literature

Autor: Anselm Okwudili Obi, Augustine Obasi Ulebe, Ugochukwu Uzodinmma Nnadozie, Charles Chidiebele Maduba, Chukwudi Ogonnaya Okorie, Obinna Nnabuife Anikwe
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: African Journal of Urology, Vol 27, Iss 1, Pp 1-5 (2021)
Druh dokumentu: article
ISSN: 1110-5704
1961-9987
DOI: 10.1186/s12301-021-00123-3
Popis: Abstract Background Gunshot wounds of the external genitalia are rare. Rarer still are civilian self-inflicted gunshot wounds of the external genitalia. The protocol for the management of gunshot wounds of the penis especially with respect to urethral injuries is not fully established. Case presentation We present a 27-year-old male undergraduate student, who accidentally shot himself in the penis. He sustained American Association for the Surgery of Trauma (AAST) grades IV to V injuries to the penis, scrotum and left testes. He was managed in a multistage, multi-disciplinary fashion including staged buccal mucosal graft repair of 4 cm proximal penile urethral defect with satisfactory cosmetic and functional outcome. Conclusions Excellent functional and cosmetic results may be obtained after severe penetrating trauma to the external genitalia even in low resource centres in the hands of non-reconstructive urologists. Buccal mucosal graft is a viable option for two stage reconstruction of the urethra.
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