Succesful repair of penil and scrotal gunshot injury

Yıl 2009, Cilt: 36 Sayı: 3, - , 01.09.2009

Abdullah Gedik Ali Tutus Devrim Kayan Kamuran Bircan

Öz

A 47 year-old male patient attended to our emergency clinic 3 hours after gunshot injury. There was a wide defect in scrotal area, each testicle and each corpus cavernous was injured and corpus spongiosum and urethra was totally disrupted. Right testicle was orchiectomised left one was repaired. We also repaired each cavernosal bodies, urethra and spongiosum as anastomosed in end to end style. In postoperative 6 weeks control patient was happy with outcome and declared that he had normal erections. His only complaint was slight loss of sensation in glans penis. In the treatment of genital injuries all possibilities should be considered in order to preserve the penis and testicles.

Anahtar Kelimeler

Penile injury, gunshot, urethra, scrotum, Repair

Atesli silah ile penis ve skrotum yaralanması ve basarılı tamiri

Öz

Kırk yedi yasında erkek hasta silah ile yaralanmadan 3 saat sonra acil servisimize basvurdu. Hastada genis skrotal defekt vardı. Her iki testis ve korpus kavernozum yaralanmıstı. Üretra ve korpus spongiosum tamamen kopmustu. Opere edilerek penisteki yaralanması onarılan hastanın postoperatif 6. haftada yapılan kontrolünde hasta sonuçtan memnun olduğunu ve ereksiyonların devam ettiğini belirtti. Tek yakınması glans penisteki hafif his kaybı idi. Genital yaralanmaların tedavisinde testis ve penisin korunması için tüm olasılıklar değerlendirilmelidir.

Anahtar Kelimeler

penis yaralanması, atesli silah, üretra, skrotum, tamir

Kaynakça

• Brandes SB, Buckman RF, Chelsky MJ and Hanno PM. Ex- ternal genitalia gunshot wounds: a ten-year experience with fifty-six cases. J Trauma 1995; 39: 266-271.
• Phonsombat S, Master VA, McAninch JW. Penetrating ex- ternal genital trauma: a 30-year single institution experience. J Urol 2008;180:192-195.
• Gomez RG, Castanheira AC and McAninch JW. Gunshot wounds to the male external genitalia. J Urol 1993;150: 147- 149.
• Mohr AM, Pham AM, Lavery RF, Sifri Z, Bargman V and Livingston DH. Management of trauma to the male external genitalia: the usefulness of American Association for the Sur- gery of Trauma organ injury scales. J Urol 2003;170:2311- 2315
• Miles BJ, Poffenberger RJ, Farah RN, Moore S. Manage- ment of penile gunshot wounds. Urology 1990;36:318-321.