@article{ref1,
title="Isolated penile injury in boys: accident, negligence, or abuse?",
journal="Journal of Indian Association of Pediatric Surgeons",
year="2021",
author="Pant, Nitin and Singh, Sudhir and Pandey, Anand and Wakhlu, Ashish",
volume="26",
number="3",
pages="177-181",
abstract="AIM: The aim of the study was to highlight the etiology, spectrum of presentation, and management of isolated penile trauma in boys.
METHODS: A retrospective review of boys treated for isolated penile trauma between January 2015 and June 2019 at a tertiary-level hospital.
RESULTS: Nine children were admitted over 4½ years. Etiology: The mechanism of penile injury (PI) was penile hair tourniquet (n = 5), postcircumcision (n = 2), dog bite (n = 1), and scald injury (n = 1). Extent of injury includes complete urethral transection at corona (n = 4); loss of urethral plate in a case of hypospadias (n = 1); complete loss of glans (n = 1); penile transection at corona (n = 1); total penile amputation (n = 1); and deep partial-thickness burns of penile shaft and adjacent suprapubic skin (n = 1). Management: One patient absconded. The remaining patients were managed as follows: calibration of urethral meatus (n = 1); penile burn was managed with dressing and antibiotics; coring of glans with urethral end-end anastomoses (n = 4); Bettocchi's quadrangular lower abdominal flap phalloplasty (n = 1); and Bracka's staged urethroplasty (n = 1). Complications include wound infection following trauma (n = 4), postsurgical infection (n = 3), urethrocutaneous fistula (n = 2), and reapplication of penile hair tourniquet (n = 1).
CONCLUSION: Isolated PI in boys is not uncommon. Most are preventable if the parents are apprized and watchful. The clinician should also be vigilant regarding child maltreatment. A staged approach tailored to the type of injury provides a satisfactory outcome. Language: en
",
language="en",
issn="0971-9261",
doi="10.4103/jiaps.JIAPS_85_20",
url="http://dx.doi.org/10.4103/jiaps.JIAPS_85_20"
}