Trauma of External Genitalia by Firearm: Therapeutic Strategy and Result, about a Case at CHU-YO, Ouagadougou, Burkina Faso ()
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.
Share and Cite:
Yameogo, C. , Kirakoya, B. , Kaboré, M. , Kaboré, F. , Ky, B. , Kabré, B. and Zango, B. (2016) Trauma of External Genitalia by Firearm: Therapeutic Strategy and Result, about a Case at CHU-YO, Ouagadougou, Burkina Faso.
Open Journal of Urology,
6, 63-66. doi:
10.4236/oju.2016.64012.
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