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

Severe penile injuries: a problem of severity and reconstruction.

Author information

1
Serbian Academy of Sciences and Arts, School of Medicine, University of Belgrade, Belgrade, Serbia. perovics@eunet.yu

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.

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