Traumatic Penile Injuries In Children: An Experience

Abstract

Background: Penile injuries are not uncommon in children and may be underreported. The aim of this study was to evaluate our experience with penile trauma in children in a retrospectively evaluated series. Materials and Methods: This was a retrospective study of children aged 15 years and below who were managed for traumatic penile injuries between January 2015 and December 2019 at the pediatric surgery unit of Enugu State University Teaching Hospital (ESUTH) Enugu, Nigeria. Both acute and chronic traumatic penile injuries were considered. Diagnosis of traumatic penile injury was made based on clinical and imaging findings. Results : A total of 104 cases of traumatic penile injuries were seen during the study period. The mean age of the patients was 4 months. Urethrocutaneous fistula from male circumcision was the most common traumatic penile injury. Repair of urethrocutaneous fistula and recurrent urethrocutaneous fistula were the most performed surgical procedure and most post-operative complication respectively. Majority of the patients achieved good cosmetic and functional outcome. Conclusio n: Traumatic penile injuries in children occur infrequently but could be a significant cause of penile disfigurement and morbidity. Urethrocutaneous fistula and bleeding problems from male circumcision are the most common traumatic penile injuries. Traumatic penile injuries can be minimized by better training and good practice. genitalia the 2016 National Commission of Statistics, population of 4 people and a population density of 2 . The hospital referrals neighboring states. Information was extracted from the case notes, operation notes, and operation register and admission-discharge records. The information extracted included the of the patient, presenting duration of symptoms before presentation, time interval between presentation and clinical diagnosis, operative procedure performed complications of treatment, duration of hospital stay and outcome of treatment. Diagnosis of traumatic penile injury was made based on clinical and imaging findings. The follow-up period was 12 months. Ethical approval was obtained from the ethics and research committee of ESUTH. Informed consent was not obtained from the patients’ caregivers because of the retrospective nature of the study and the identities of the patients were not revealed. Statistical Package for Social (SPSS) was used for data entry and analysis. Data were expressed as percentages, mean, median and range.