Published online Oct 16, 2014. doi: 10.12998/wjcc.v2.i10.587
Revised: June 30, 2014
Accepted: August 27, 2014
Published online: October 16, 2014
Twenty percent of genital traumas are caused by penetrating injuries; accordingly gunshot and stab wounds have increased in the last couple of years around the globe, even in Colombia. A 67-year-old male patient was admitted to the emergency room because he received multiple gunshot wounds. On physical examination, multiple wounds on his penis with loss of tissue in the foreskin, glans, anterior urethra (distal third) and cavernous corpora were found. The urologist performed a partial penectomy with a penis reconstruction, he debrided the cutaneous flap of the dorsal foreskin and its glans, sutured the distal cavernous corpora and dissected the urethra. Penetrating genital injuries are extremely important due to their impact on the functional, psychological and the aesthetic consequences. It is necessary to define the best possible treatment to minimize the damage.
Core tip: Genital injuries are a common problem in civil war. For example, in developing countries its incidence is increasing, so it is of vital importance to notice how to focus the clinical case and how to treat patients with this condition. The impact on functional and aesthetic aspects calls our attention to treat these patients correctly.