Penile injuries in children

Özet

Objective: Penile injuries are not rare in children. Our aim is to establish their causes and to report ourexperience in the management of those accidents.Material and methods: A retrospective study of all penile injuries presented from January 2009 to January2017 was performed. Hemorrhage and excess of mucosa or skin remnants are the most frequent and benigninjuries after circumcisions, so they were excluded from the study.Results: Four groups were reported including the circumcision accident group, the traumatic accidentgroup, the strangulation group and the electrocution group. The most frequent cause was circumcision accidents.We performed a penile re-implantation in one, and a glans re-implantation in another patient. Twopatients underwent phalloplasty using the stumps of the remaining corpora cavernosa. We performed ninefistulae repair. Follow up showed healing without complication in the majority of the patients but recurrenceof fistula was witnessed in four patients.Conclusion: Penile injuries are frequent with a challenging management. Most of the accidents can be preventedby improving conditions of circumcision