Case Report
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World J Clin Cases. Oct 16, 2014; 2(10): 587-590
Published online Oct 16, 2014. doi: 10.12998/wjcc.v2.i10.587
Importance of defining the best treatment of a genital gunshot wound: A case report
Herney Andrés García-Perdomo
Herney Andrés García-Perdomo, School of Medicine, Faculty of Health, University of Valle, 25360 Cali, Colombia
Author contributions: García-Perdomo HA contributed to this paper.
Correspondence to: Herney Andrés García-Perdomo, MD, MSc, EdDc, PhDc, Professor, School of Medicine, Faculty of Health, University of Valle, Cll 4B #36-00, 25360 Cali, Colombia. herney.garcia@correounivalle.edu.co
Telephone: +57-321-2195102 Fax: +57-251-85686
Received: May 3, 2014
Revised: June 30, 2014
Accepted: August 27, 2014
Published online: October 16, 2014
Processing time: 165 Days and 14.8 Hours
Abstract

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.

Keywords: Genital; Penile; Injuries; Trauma; Amputation

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.