TITLE:
Epidemiological, Clinical, and Therapeutic Aspects of Injuries to the Male External Genitalia at the Abeche University Hospital
AUTHORS:
Vadandi Valentin, Mahamat Ali Mahamat, Vounouzia Barthelemy, Temga Ouang Michael, Nisso Ouangkake, Saleh Abdelkerim Nedjim, Adoumadji Kouldjim, Minguemadji Allah Siyangar, Rimtebaye Kimassoum
KEYWORDS:
Injuries, External Genitalia, Epidemiology
JOURNAL NAME:
Open Journal of Urology,
Vol.16 No.9,
September
30,
2026
ABSTRACT: Introduction: Trauma to the male external genitalia (EG) refers to all injuries resulting from physical assault targeting the male external genitalia. Such injuries are relatively common and generally occur in young individuals. The objective of this study was to improve the management of trauma to the male external genitalia. Patients and Methods: This was a retrospective, descriptive study conducted over a three-year period from January 2021 to December 2023. It took place in the Emergency and Urology Departments of the Abéché University Hospital. The study population consisted of patients admitted and treated for trauma to the external genitalia. Results: Injuries to the external genitalia accounted for 0.4% of admissions. The mean age was 29 years, ranging from 10 to 68 years. Sixty-four percent (n = 16) of the patients were married, and 60% (n = 15) were from rural areas. The circumstances of injury were criminal torture (strangulation of the external genitalia), specifically targeting the external genitalia in 28% of cases, followed by traffic accidents, kicks from animals (donkeys, horses, and oxen), and fights, which accounted for 24%, 20%, and 16% of cases, respectively. The impact was direct in all cases. The time to admission ranged from 24 to 72 hours in 52% of patients. A scrotal wound was found in 32%, and a penile wound in 24%. Emergency procedures performed included wound debridement and scrototomy in 24% and 20% of cases, respectively. Transurethral bladder catheterisation accounted for 20%. In the emergency department, 64% (n = 16) were discharged with a referral to urology, compared to 36% who were hospitalized. The average length of hospital stay was 7 days, ranging from 1 to 17 days. Conclusion: Injuries to the male external genitalia account for a significant proportion of emergency department admissions and are more common among younger individuals. Assaults are the most common cause of these injuries.