Early morning erectile pain in post burn penile contracture – When is appropriate surgical correction indicated? A case report

Isiguzo, C.M.; Onah, Ifeanyi Igwilo; Okorie, Gabriel Maduwuike

doi:10.1016/j.burnso.2017.05.004

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…The complications of penile trauma vary based on the extent of the injury. Erectile dysfunction, Peyronie’s disease ( 19 ), high flow priapism, pseudodiverticulum, and fistula are common complications in injuries involving tunica albuginea or corpus cavernosa while superficial injuries can result in wound infection, penile disfigurement, wound contracture, and painful intercourse ( 3 , 20 ).…”

Section: Discussionmentioning

confidence: 99%

Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report

Patel¹,

Kaka²,

Sharma³

et al. 2023

AME Case Rep

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Background Penile trauma due to the associated stigma poses a diagnostic challenge. The causes of isolated penile injuries include zipper injuries (mainly in children), falls, burns, during fellatio, self-mutilation (Klingsor syndrome), and rarely purposeful forceful bending of the erect penis (Taqaandan). Delayed management of penile trauma might increase the risk of infection, rarely leading to sepsis acutely or structural and functional disabilities in the long run. We believe our report is the first to contribute data on a patient with a delayed presentation of contaminated penile wound who recovered well with prompt management. Case Description A traumatic laceration of the penis due to a fall from stairs is extremely unexpected. Here we present the case of a 14-year-old boy who slipped from the stairs and got an isolated American Association for the Surgery of Trauma (AAST) Grade-1 ventrolateral penile skin laceration. He took home remedies for 10 days before reporting with a contaminated wound. The patient was first managed conservatively with antibiotics [Amoxyclav 625 mg thrice daily (TDS) and Metronidazole 400 mg TDS], wound care, and then treated surgically, helping wound repair. He recovered well after the treatment and retained normal urinary and sexual function. Conclusions Penile trauma is severely under-reported due to the stigma associated with it. Early diagnosis and prompt management are imperative to limit complications. A detailed history helps to evaluate the exact cause and check out possibilities of sexual assault. Appropriate management in tandem with patient education and an attempt to de-stigmatize the interaction helps favorable long-term outcomes.

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Section: Discussionmentioning

confidence: 99%