Penile Injury: 4 Years’ Experience of A single Surgeon in A limited Resources Setting

Abstract

Abstract Background Penile injuries are uncommon with difficult management of more severe cases. This study aims to review their causes and to present experience in their management according to the limited available facilities in a limited resources hospital. Materials and methods A four-year experience with penile injury in a limited resources hospital in the east of Sudan was recorded. Records of 32 cases of emergency penile surgical conditions between January 2016 to March 2020 were retrospectively reviewed, of them only 17 cases of significant penile injuries were included in the study, they were divided into a pediatric and adult group according to age with further subdivision of each group according to the nature of the injury. Results Seventeen patients with penile injuries were treated during this period. Pediatric group (n = 4), all of them are victims of traditional circumcision, 2 of them presented with glans penis amputation, one with gangrenous glans, and the fourth one with mild glans injury. The adult group was subdivided into 3 subgroups, the first one is the group of penile fracture (n = 8), the second one is the group of degloving penile injury (n = 2), and the last one is the group of penile amputation injury (n = 3). Management included a variety of surgical techniques that were tailored to individual patients. The outcome of the intervention was presented case by case. Conclusions severe penile injuries should be managed as a case-by-case policy. The field of reconstructive penile surgery needs to be developed to improve the outcome of surgical intervention. Community orientation and work safety measures should be applied to avoid penile injuries that may result from traditional circumcision and machinery trauma.