A systematic review of penetrating perineal trauma in a civilian setting

Chong, Elliot Yeung; Goh, Daniel Wen Xiang; Lim, Angela Hui-Shan; Goh, Serene Si Ning; Balasubramaniam, Sunder

doi:10.1007/s00068-022-01908-z

Cited by 4 publications

(2 citation statements)

References 37 publications

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“…Of notable concern is addressing associated urethral damage, observed in 11% to 29% of penetrating penile injuries. While historical management leaned toward conservative approaches, the significant morbidity associated with this approach (up to 30%), including erectile dysfunction (ED), Peyronie's disease with palpable fibrous plaques, painful erections, curvature, and infected hematomas, underscores the necessity for a more proactive surgical strategy [6,10].…”

Section: Discussionmentioning

confidence: 99%

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Penile Fracture Secondary to Gunshot Injury: A Multidisciplinary Approach and Exceptional Surgical Management in an Uncommon Case

Meza-Hernandez,

Sánchez-Treviño,

Ascencio-Martínez

et al. 2024

Cureus

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Penile fractures happen when the tunica albuginea is forcefully torn during intense sexual activity or vigorous masturbation. Gunshot-induced cases are extremely rare. Diagnosis, often requiring surgical exploration, poses challenges due to the condition's rarity and severity. We report a complex case of a patient with multiple gunshot wounds, highlighting the need for a multidisciplinary approach for abdominal and genitourinary regions.A 24-year-old male presented to the emergency department with multiple gunshot wounds to the anterior thoracic and abdominal walls, inguinal region, penis, and lower extremities. Despite multiple gunshot wounds, the patient maintained hemodynamic stability during physical examination. No imaging study was performed since surgical management was decided due to the presence of hematemesis. During exploratory laparotomy, a 2 cm stomach lesion was found and repaired by the general surgery team. Urology then addressed genital trauma, identifying and fixing a 1 cm tunica albuginea defect in each corpora cavernosa, achieving bilateral penile fracture repair. The patient was discharged after eight days of hospitalization, with adequate oral intake and urinating. Fifty-two days later, he persists with mild erectile dysfunction (International Index of Erectile Function-5 score: 17 points).This unique case involving a gunshot-induced penile fracture alongside abdominal and several other injuries was successfully managed through a multidisciplinary approach. As these lesions are rare, prompt treatment with standardized surgical procedures for civilian cases is crucial for optimal outcomes.

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Section: Discussionmentioning

confidence: 99%

“…Common triggers include instances like the penis hitting the perineum during intercourse or vigorous masturbation [1]. Extremely rare cases include those caused by gunshot wounds (GSWs), with only a few cases reported in the literature from 1963 to 2023 [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%