TY - JOUR
T1 - Management of penile gunshot wounds
AU - Miles, Brian J.
AU - Poffenberger, Rodney J.
AU - Farah, Riad N.
AU - Moore, Steven
PY - 1990/10
Y1 - 1990/10
N2 - The management of 10 cases of penile gunshot wounds treated at Henry Ford Hospitalfrom 1982 to 1986 is reviewed. All patients were assaulted by low velocity weapons (handguns). Eight patients had associated injuries, predominantly to the genital region (thigh, pubis, and scrotum). There were S urethral injuries; 4 were treated with primary repair, the remaining patient underwent delayed repair, complicated by severe urethral strictures requiring reoperation. Blood at the urethral meatus was suggestive of urethral injury but microscopic hematuria was not. Five penile injuries did not involve the urethra and were treated by debridement and primary wound closure with no immediate or delayed complications. In dealing with these injuries we recommend a high index of suspicion for urethral and regional organ injury and primary urethral closure if at all possible.
AB - The management of 10 cases of penile gunshot wounds treated at Henry Ford Hospitalfrom 1982 to 1986 is reviewed. All patients were assaulted by low velocity weapons (handguns). Eight patients had associated injuries, predominantly to the genital region (thigh, pubis, and scrotum). There were S urethral injuries; 4 were treated with primary repair, the remaining patient underwent delayed repair, complicated by severe urethral strictures requiring reoperation. Blood at the urethral meatus was suggestive of urethral injury but microscopic hematuria was not. Five penile injuries did not involve the urethra and were treated by debridement and primary wound closure with no immediate or delayed complications. In dealing with these injuries we recommend a high index of suspicion for urethral and regional organ injury and primary urethral closure if at all possible.
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U2 - 10.1016/0090-4295(90)80237-H
DO - 10.1016/0090-4295(90)80237-H
M3 - Article
C2 - 2219610
AN - SCOPUS:0025119538
VL - 36
SP - 318
EP - 321
JO - Urology
JF - Urology
SN - 0090-4295
IS - 4
ER -