Trauma to the Male External Genitalia: Epidemiology, Diagnosis and Therapeutic Aspects at Yalgado Ouedraogo Teaching Hospital of Ouagadougou

Barnabé Zango; Fasnéwindé A. Kabore; Abdoul Karim Pare; Brahima Kirakoya; Clôtaire Alexis Marie Kiemdiba Donega Yameogo; Adama Ouattara; Cyprien Zare

doi:10.4236/oju.2015.57016

Home > Journals > Medicine & Healthcare > OJU

OJU> Vol.5 No.7, July 2015

Share This Article:

Open Access

Trauma to the Male External Genitalia: Epidemiology, Diagnosis and Therapeutic Aspects at Yalgado Ouedraogo Teaching Hospital of Ouagadougou

Abstract Full-Text HTML XML

Download as PDF (Size:237KB) PP. 103-108

DOI: 10.4236/oju.2015.57016 2,236 Downloads 2,565 Views

Author(s) Leave a comment

Barnabé Zango¹, Fasnéwindé A. Kabore¹, Abdoul Karim Pare², Brahima Kirakoya¹, Clôtaire Alexis Marie Kiemdiba Donega Yameogo¹, Adama Ouattara¹, Cyprien Zare³

Affiliation(s)

¹Department of Urology, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso.
²Department of Urology, Sanon Souro Teaching Hospital, Bobo Dioulasso, Burkina Faso.
³Department of General Surgery, Sanon Souro Teaching Hospital, Bobo Dioulasso, Burkina Faso.

ABSTRACT

Objective: To describe the epidemiology, diagnosis and therapeutic outcomes of trauma to the external genitalia trauma. Materials and Methods: This is a retrospective descriptive study over a period of six and a half years from January 1st, 2006 to June 30th, 2012. About 42 cases of trauma to the male external genitalia were received at the emergency department of General surgery and Urology of Yalgado Ouedraogo Teaching Hospital of Ouagadougou. Results: The average age of the patients was 31.7 years and the age groups most affected were those between 16 - 26 years. Our study population were mainly pupils and students with 40.5% of cases. Causes of trauma to the external genitalia were mainly highway accident with 19 cases (45.2% of cases). 85.7% of patients presented on the day of the trauma. Scrotum and its contents were more exposed to trauma (30 cases) than penis (12 cases). Treatment was most often surgical (78.6%). The postoperative course was uneventful in 75% of the cases of testicular trauma and 72.7% of the cases of penile trauma. Conclusion: External genitalia traumas affect young people. Complications can be important like erectile dysfunction. However, the prognosis is good if treatment is early.

KEYWORDS

Male External Genitalia-Trauma-Emergency

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Zango, B. , Kabore, F. , Pare, A. , Kirakoya, B. , Donega Yameogo, C. , Ouattara, A. and Zare, C. (2015) Trauma to the Male External Genitalia: Epidemiology, Diagnosis and Therapeutic Aspects at Yalgado Ouedraogo Teaching Hospital of Ouagadougou. Open Journal of Urology, 5, 103-108. doi: 10.4236/oju.2015.57016.

References

[1]	Sherif, A.E., Renaldo, G.G. and McAninch, J.W. (1993) Genital Self-Mutilation. Journal of Urology, 150, 1143-1146.

[2]	Benchekroun, A., Iken, A., Kasmaoui, E., et al. (2001) Scrotal Trauma. A Report of 40 Cases. Annales d’Urologie, 35, 349-352. http://dx.doi.org/10.1016/S0003-4401(01)00058-4

[3]	Hodonou, R.K., Diallo, A. and Akpo, E.C. (1997) Trauma to the Male External Genitalia: A Report of 20 Cases. Annales d’Urologie, 31, 318-321.

[4]	Kleinclauss, F., Martin, M., Chabannes, E., Bernardini, S., Dellanegra, E. and Bittard, H. (2001) Testicular Traumas: A Report of 57 Cases. Progrès en Urologie, 11, 486-491.

[5]	Moby Mpah, E.H., Fouda, P.J., Sala-Beyeme, T., Eboumbou Moukoko, E.C., Njifou Njimah, A., Tsiagadigui, J.-G., Berthe, H.J.G., Mekeme Mekeme, J. and Angwafo III, F. (2012) Andrological Emergencies in Urban Areas in Cameroun. Clinical and Therapeutic Aspects. Andrologie, 22, 223-226.

[6]	Fall, B., Diao, B., Fall, P.A., Diallo, Y., Sow, Y., Ondongo, A.A.M., Diagana, M., Ndoye, A.K., Ba, M. and Diagne, B.A. (2008) Urological Emergencies at Dakar University Teaching Hospital. Epidemiological, Clinical and Therapeutic Features. Progrès en Urologie, 18, 650-653. http://dx.doi.org/10.1016/j.purol.2008.04.004

[7]	Shaul, D.B., Xie, H.W., Diaz, J.F., Mahnovski, V. and Hardy, B.E. (1997) Surgical Treatment of Testicular Trauma: Effects on Fertile and Testicular Histology. Journal of Pediatric Surgery, 32, 84-87. http://dx.doi.org/10.1016/S0022-3468(97)90101-9

[8]	Barthelemy, Y., Delmas, V., Villers, A., Baron, J.C., SIBERT, A. and Boccon-Gibod, L. (1992) Scrotal Trauma. Report of 33 Cases. Progrès en Urologie, 2, 628-634.

[9]	Benchekroun, A., Abakka, I. and Lakrissa, A. (1986) Fracture of the Corpus Cavernosa. About 22 Cases. Journal of Urology, 92, 2915.

[10]	Hinev, A. (2000) Fracture of the Penis: Treatment and Complications. Acta Medica Okayama, 54, 211-216.

[11]	Mansi, M.K., Emran, M., EL-Mahrouky, A. and EL-Mateet, M.S. (1993) Experience with Penile Fractures in Egypt: Long-Term Results of Immediate Surgical Repair. The Journal of Trauma, 35, 67-70. http://dx.doi.org/10.1097/00005373-199307000-00011

[12]	Boujnah, H. and Rakam, S. (1990) Fracture of the Corpus Cavernosa: About of 67 Cases. Annalesd’ Urologie, 24, 313-315.

[13]	Asgari, M.A., Hosseini, S.Y., Safarinejad, M.R., Samadzade, B. and Bardideh, A.R. (1996) Penile Fractures: Evaluation, Therapeutic Approaches and Long Term Results. The Journal of Urology, 15, 148-149.http://dx.doi.org/10.1097/00005392-199601000-00057

[14]	Zargooshi, J. (2000) Penile Fracture in Kermanshah, Iran: Report of 172 Cases. The Journal of Urology, 164, 364-366.http://dx.doi.org/10.1016/S0022-5347(05)67361-2

[15]	Moufid, K., Joual, A., Debbagh, A., Bennani, S. and EL-Mrini, M. (2004) Genital Self-Mutilation: Report of 3 Cases. Progrès en Urologie, 14, 540-543.

[16]	Kaboré, A., et al. (2008) Recurrent Self-Mutilation of the Penis in a Context of Schizophrenia: About One Case. Andrologie, 18, 224-226.

[17]	Bennani, S., EL Mrini, M., Meziane, F. and Benjelloun, S. (1992) Traumatic Rupture of the Corpus Cavernosa: Analysis of 25 Cases and Literature Review. Annales d’Urologie, 26, 355.

[18]	Hammadi, F., et al. (2007) Blunt Scrotal Trauma, Management Strategy. Andrologie, 17, 42-48.

[19]	Benjelloun, M., Rabii, R., Bennani, S., Querfani, B. and Joual, A. (2003) Fracture of the Corpus Cavernosa. A Report of 123 Cases. African Journal of Urology, 9, 48-52.

[20]	Mianne, D., Guillotreau, J. and Sergent, H. (1997) Perineal Injuries in Wartime. Annales d’Urologie, 31, 303-308.

[21]	Mulhaull, J.P., Gabram, S.G. and Jacobs, L.M. (1995) Emergency Management of Blunt Testicular Trauma. Academic Emergency Medicine, 2, 639-643. http://dx.doi.org/10.1111/j.1553-2712.1995.tb03604.x

[22]	Altarac, S. (1994) Management of 53 Cases of Testicular Trauma. European Urology, 25, 119-123.

[23]	Cass, A.S. and Luxemberg, M. (1988) Value of Early Operation in Blunt Testicular Contusion with Hematocele. The Journal of Urology, 139, 746-747.