Severe penile injuries: a problem of severity and reconstruction

BJU Int. 2009 Sep;104(5):676-87. doi: 10.1111/j.1464-410X.2008.08343.x. Epub 2009 Jan 20.

Abstract

Objectives: To report our experience of treating severe penile injuries with different causes and treatments, as penile trauma presents a difficult physical and psychological problem, and the type and extent of injury varies from mild to severe, sometimes even with total amputation.

Patients and methods: We analysed retrospectively 43 patients (mean age 28 years, range 5-52 years) with severe penile injuries referred to us from March 1999 to August 2007. The causes of penile injuries differed, including iatrogenic trauma (20), traffic accidents (11), burns (three), self-amputation (two), ritual circumcision (two), penile fracture (two), gunshot trauma (two) and electrocution (one). The management required a wide variety of surgical techniques tailored to each patient depending on the type and extent of injury.

Results: The mean (range) follow-up was 47 (10-108) months. The aesthetic and functional results, including satisfactory sexual intercourse were good in 35 patients. There were complications in seven patients; infection after implanting an inflatable penile prosthesis in one, protrusion of a semirigid prosthesis in one, urethral complications (one stenosis and two fistulae) in three and partial skin flap necrosis in two.

Conclusions: Severe penile injuries should be treated on an individual basis, applying different techniques. However, treatment can be effective and safe only in specialized centres.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Penile Diseases / etiology
  • Penile Diseases / surgery*
  • Penile Prosthesis
  • Penis / injuries*
  • Penis / surgery*
  • Reconstructive Surgical Procedures / adverse effects
  • Reconstructive Surgical Procedures / methods*
  • Retrospective Studies
  • Trauma Severity Indices
  • Treatment Outcome
  • Urologic Surgical Procedures, Male / adverse effects
  • Urologic Surgical Procedures, Male / methods
  • Young Adult