TITLE:
Trauma of External Genitalia by Firearm: Therapeutic Strategy and Result, about a Case at CHU-YO, Ouagadougou, Burkina Faso
AUTHORS:
Clôtaire Alexis Marie Kiemdiba Donega Yameogo, Brahima Kirakoya, Moussa Kaboré, Fasnéwindé A. Kaboré, Bienvenue D. Ky, Boukary Kabré, Barnabé Zango
KEYWORDS:
Trauma, External Genitalia, Firearms, Emergency
JOURNAL NAME:
Open Journal of Urology,
Vol.6 No.4,
April
22,
2016
ABSTRACT: Introduction: Ballistic traumas of the external genitalia are rare
especially in civil practice. Emergency surgical exploration is the rule. Case
Report: Mr. F.Y., 29 years old, a security agent, admitted to the Urological
Emergency Unit of Yalgado Ouédraogo University Hospital of Ouagadougou for
trauma of the penile and left purse by firearm. The clinical examination
revealed a good hemodynamic status, bladder distension. A suprapubic
catheterization was performed. We noted a transfixing and bleeding wound on the
penile, and on the left purse which was edematous. The patient was admitted to
the operation room 07 hours after trauma. Exploration found a total destruction
of the left testicle classified grade 5 of the classification of the American
Association of the Surgery of Trauma (AAST). We performed a left orchiectomy.
There was a partial rupture of the ventral face of the penile urethra. We performed
an end-to-end anastomosis on a Foley catheter CH 18. The Foley catheter was
removed after two weeks. Urination was spontaneous without dysuria. Erections
were painless and without kinking of penile. Conclusion: Open traumas of the
external genitalia are rare and their treatment is an extreme surgical
emergency.