Gunshot injuries to the external genital organs are rare. In this study, the authors report six cases and describe the epidemiological, terminal ballistic and therapeutic aspects. Patients and Methods: This is a retrospective study of patients admitted with gunshot injuries to the external genital organs to the urology departments of Aristide Le Dantec Hospital, Grand Yoff General Hospital and Dakar Principal Hospital, between January 1998 and January 2003. The following parameters were studied: patients' age and gender, interval between accident and admission, clinical features, complementary investigations and treatment, and early and late outcomes. Results: Only males were observed and the mean age of these patients was 37.7 years (range: 22 - 52 years). Lesions were accidental in five cases. Two cases of testicular wounds, two cases of corpus cavernosum - injuries, two cases of urethral injury, and one case of perineal wound were observed. After excision of the lesions, complementary procedures consisted of: orchidectomy in two cases, corpus cavernosum albuginea suture in two cases and end-to-end urethral suture in one case. Perineoscrotal wounds were sutured three days after debridement. All patients received antibiotics and antitetanus serum. No death was observed during the immediate follow-up. No case of urethral stricture or erectile dysfunction was observed with a follow-up of 18 months. Semen analysis was normal in the two cases of orchidectomy.
展开▼
