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Citation |
Abel NJ, Klaassen Z, Mansour EH, Marano MA, Petrone SJ, Houng AP, Chamberlain RS. Int. J. Urol. 2012; 19(4): 351-358. |
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Affiliation |
Department of Surgery Department of Surgery, Division of Burn Surgery, Saint Barnabas Medical Center, Livingston, New Jersey, USA Department of Surgery, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA Department of Surgery, Division of Urology, Georgia Health Sciences University, Augusta, Georgia, USA St. George's University School of Medicine, Grenada, West Indies, USA. |
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Copyright |
(Copyright © 2012, John Wiley and Sons) |
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DOI |
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PMID |
22220856 |
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Abstract |
Objectives: The American Burn Association classifies a burn to the genitalia as a major injury. Isolated burns to the penis, scrotum or vulva are rare as a result of protection provided by the thighs and abdomen. Thus, burned genitalia represent an ominous sign of a more extensive total body surface area burn. Methods: A retrospective analysis of consecutive patients admitted to a Level-1 Burn Unit with a burn involving the genitalia from January 1995 to December 2009 comprised the study population. Results: A total of 393 patients of 5878 patients (6.7%) admitted to the Burn Unit suffered a burn involving the genitalia, including 253 males (64.4%) and 140 females (35.6%). The median total body surface area was 12% (range 1-100%), the most common cause of genital burn was scald (n = 246, 62.9%) and median length of stay was 9 days (range 1-472 days). A total of 269 patients (68.4%) were discharged to home from the hospital, and in-hospital mortality was 20.9%. Conclusions: The typical profile for those sustaining a genital burn include younger patients (≤30 years-of-age), sustaining a median total body surface area burn of 12% from a scald injury, with extensive genitalia involvement. Length of stay for genital burns is usually extended and, as a result of concomitant injuries, is associated with a 20% in-hospital death rate. Language: en |