Extensive Trauma of Male External Genitalia in Children:  A Case Report

Amadou Kassogue; Alkadri Diarra; Honore Jean Gabriel Berthe; Moussa Salifou Diallo; Mamadou Tidiani Coulibaly; Dramane Nafo Cisse; Mamadou Lamine Diakite

doi:doi:10.11648/j.cmr.20190802.14

Extensive Trauma of Male External Genitalia in Children: A Case Report

Amadou Kassogue, Alkadri Diarra, Honore Jean Gabriel Berthe, Moussa Salifou Diallo, Mamadou Tidiani Coulibaly, Dramane Nafo Cisse, Mamadou Lamine Diakite

Published in Clinical Medicine Research (Volume 8, Issue 2)

Received: 6 June 2019 Accepted: 1 July 2019 Published: 12 July 2019

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Abstract

The trauma with grinding of the external genitalia is a urological emergency. Management is surgical (trimming, orchidopexy, orchiectomy). Male genital lesions, while rarely life threatening, require prompt and appropriate management to prevent long-term sexual and psychological damage. The management of these lesions is a challenge for the urologist. It is medicolegal and in the child a consent must be given by the family before the treatment. Mr. K A, 10-year-old child, admitted to the Emergency Department of the Bocar S Sall Teaching Hospital in Kati for a road accident, resulting in trauma to the external genitalia. On examination, the general condition was satisfactory, the open scrotum showing the two testicles, the naked penis. The abdominopelvic ultrasound was normal. The radiograph of the pelvis had objectified fractures in the iliac bones. A trauma and ophthalmological opinion was requested. Informed consent was given to the family for possible erectile dysfunction and fertility disorders. We performed a suprapubic catheterization under triple antibiotherapy, trimming, bilateral orchidopexy. The evolution was marked by superinfection with tissue necrosis leading to the loss of the right testicle. We report an unusual case of trauma with external genitalia crushing in the child.

Published in	Clinical Medicine Research (Volume 8, Issue 2)
DOI	10.11648/j.cmr.20190802.14
Page(s)	53-55
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

External Genitalia, Crushing, Trimming, Orchiectomy, Fertility

References

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[2]	Sauvage P, Geiss S, Leculée R, Hideux S. Injuries of the testis in children. Chir. Pediatr. 1988; 29: 136-41.
[3]	Odzébé AWS, Bouya PA, Banga MR. Les traumatismes des bourses. Afr. J. of Urology 2009; 15 (2): 130-134.
[4]	Ahmed A, Mbibu N. H. Aetiology and management of injuries to male external genitalia in Nigeria. International journal of the cases of the injured 2008; 39 (1): 128-133.
[5]	Widni EE, Höllwarth ME, Saxena AK. Analysis of nonsexual injuries of the male genitals in children and adolescents. Acta Paediatr. 2011; 100 (4): 590-3.
[6]	Mc Aleer IM, Kaplan GW, LoSasso BE. Renal and testis injuries in team sports. J Urol. 2002; 168: 1805-7.
[7]	Mathews R, Sheridan ME, Patil U. Neonatal testicular loss secondary to perinatal trauma in breech presentation. BJU Int. 1999; 83: 1069-70.
[8]	Simonin O, Carcenac A, Delapparent T, Karsenty G, Serment G. Testicular and penile injuries. Androl. 2006; 16 (3): 187-196.
[9]	Coulibaly MT, Issa A, Kassogué A, Ouattara Z. Traumas of scrotum: clinical and therapeutic aspects in the service of urology of the CHU Gabriel Toure. Mali Médical 2017; 32 (1): 13-16.
[10]	Allen F. Morey, Michael J. Metro, Kenneth J. Carney, Kennon S. Miller, Jack W. Mc Aninch. Consensus on genitourinary trauma: external genitalia. BJU International 2004; 94 (4): 507-515.
[11]	Wille, A. H., Loening, S. A. Management of trauma to the external genitalia. Chirurg. 2006; 77: 790-799.
[12]	Oseni OG, Olaitan PB, Badmus TO, Olajide AO. Accidental Peno-Scrotal Degloving Injuries in a Child. A Case Report and Literature Review. Nig Q J Hosp Med. 2013; 23 (4): 248-50.
[13]	Ahmet A. Tuncer, Didem Baskin Embleton, Nese N. User, Salih Cetinkursun. External genital injuries in childhood: obey the rules and detect the unseen Int Surg J. 2018; 5 (4): 1222-1228.
[14]	Jabren G. W., Hellstrom W. J. G. Trauma to the External Genitalia. In: Wessells H., Mc Aninch J. W. (eds) Urological Emergencies. Current Clinical Urology 2005. Humana Press. pp 71-93.
[15]	Mohr AM, Pham AM, Lavery RF, Sifri Z, Bargman V, Livingston DH. Management of trauma to the male external genitalia: the usefulness of American Association for the Surgery of Trauma organ injury scales. J Urol. 2003; 170: 2311-5.

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APA Style

Amadou Kassogue, Alkadri Diarra, Honore Jean Gabriel Berthe, Moussa Salifou Diallo, Mamadou Tidiani Coulibaly, et al. (2019). Extensive Trauma of Male External Genitalia in Children: A Case Report. Clinical Medicine Research, 8(2), 53-55. https://doi.org/10.11648/j.cmr.20190802.14

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ACS Style

Amadou Kassogue; Alkadri Diarra; Honore Jean Gabriel Berthe; Moussa Salifou Diallo; Mamadou Tidiani Coulibaly, et al. Extensive Trauma of Male External Genitalia in Children: A Case Report. Clin. Med. Res. 2019, 8(2), 53-55. doi: 10.11648/j.cmr.20190802.14

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AMA Style

Amadou Kassogue, Alkadri Diarra, Honore Jean Gabriel Berthe, Moussa Salifou Diallo, Mamadou Tidiani Coulibaly, et al. Extensive Trauma of Male External Genitalia in Children: A Case Report. Clin Med Res. 2019;8(2):53-55. doi: 10.11648/j.cmr.20190802.14

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@article{10.11648/j.cmr.20190802.14,
  author = {Amadou Kassogue and Alkadri Diarra and Honore Jean Gabriel Berthe and Moussa Salifou Diallo and Mamadou Tidiani Coulibaly and Dramane Nafo Cisse and Mamadou Lamine Diakite},
  title = {Extensive Trauma of Male External Genitalia in Children:  A Case Report},
  journal = {Clinical Medicine Research},
  volume = {8},
  number = {2},
  pages = {53-55},
  doi = {10.11648/j.cmr.20190802.14},
  url = {https://doi.org/10.11648/j.cmr.20190802.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20190802.14},
  abstract = {The trauma with grinding of the external genitalia is a urological emergency. Management is surgical (trimming, orchidopexy, orchiectomy). Male genital lesions, while rarely life threatening, require prompt and appropriate management to prevent long-term sexual and psychological damage. The management of these lesions is a challenge for the urologist. It is medicolegal and in the child a consent must be given by the family before the treatment. Mr. K A, 10-year-old child, admitted to the Emergency Department of the Bocar S Sall Teaching Hospital in Kati for a road accident, resulting in trauma to the external genitalia. On examination, the general condition was satisfactory, the open scrotum showing the two testicles, the naked penis. The abdominopelvic ultrasound was normal. The radiograph of the pelvis had objectified fractures in the iliac bones. A trauma and ophthalmological opinion was requested. Informed consent was given to the family for possible erectile dysfunction and fertility disorders. We performed a suprapubic catheterization under triple antibiotherapy, trimming, bilateral orchidopexy. The evolution was marked by superinfection with tissue necrosis leading to the loss of the right testicle. We report an unusual case of trauma with external genitalia crushing in the child.},
 year = {2019}
}

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TY - JOUR
T1 - Extensive Trauma of Male External Genitalia in Children: A Case Report
AU - Amadou Kassogue
AU - Alkadri Diarra
AU - Honore Jean Gabriel Berthe
AU - Moussa Salifou Diallo
AU - Mamadou Tidiani Coulibaly
AU - Dramane Nafo Cisse
AU - Mamadou Lamine Diakite
Y1 - 2019/07/12
PY - 2019
N1 - https://doi.org/10.11648/j.cmr.20190802.14
DO - 10.11648/j.cmr.20190802.14
T2 - Clinical Medicine Research
JF - Clinical Medicine Research
JO - Clinical Medicine Research
SP - 53
EP - 55
PB - Science Publishing Group
SN - 2326-9057
UR - https://doi.org/10.11648/j.cmr.20190802.14
AB - The trauma with grinding of the external genitalia is a urological emergency. Management is surgical (trimming, orchidopexy, orchiectomy). Male genital lesions, while rarely life threatening, require prompt and appropriate management to prevent long-term sexual and psychological damage. The management of these lesions is a challenge for the urologist. It is medicolegal and in the child a consent must be given by the family before the treatment. Mr. K A, 10-year-old child, admitted to the Emergency Department of the Bocar S Sall Teaching Hospital in Kati for a road accident, resulting in trauma to the external genitalia. On examination, the general condition was satisfactory, the open scrotum showing the two testicles, the naked penis. The abdominopelvic ultrasound was normal. The radiograph of the pelvis had objectified fractures in the iliac bones. A trauma and ophthalmological opinion was requested. Informed consent was given to the family for possible erectile dysfunction and fertility disorders. We performed a suprapubic catheterization under triple antibiotherapy, trimming, bilateral orchidopexy. The evolution was marked by superinfection with tissue necrosis leading to the loss of the right testicle. We report an unusual case of trauma with external genitalia crushing in the child.
VL - 8
IS - 2
ER -

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Author Information

Amadou Kassogue

Department of Urology, Pr Bocar Sidy Sall University Hospital of Kati, University of science, Technic and technology of Bamako, Faculty of Medicine and Odontostomatology, Bamako, Mali
Alkadri Diarra

Department of Urology, Mere-Enfant University Hospital, “Le Luxembourg”, University of science, Technic and technology of Bamako, Faculty of Medicine and Odontostomatology, Bamako, Mali
Honore Jean Gabriel Berthe

Department of Urology, Point G University Hospital, University of science, Technic and technology of Bamako, Faculty of Medicine and Odontostomatology Bamako, Mali
Moussa Salifou Diallo

Department of Urology, Pr Bocar Sidy Sall University Hospital of Kati, University of science, Technic and technology of Bamako, Faculty of Medicine and Odontostomatology, Bamako, Mali
Mamadou Tidiani Coulibaly

Department of Urology, Gabriel Toure University Hospital of Bamako, University of science, Technic and technology of Bamako, Faculty of Medicine and Odontostomatology Bamako, Mali
Dramane Nafo Cisse

Department of Urology, Hopital of Mopti, University of science, Technic and technology of Bamako, Faculty of Medicine and Odontostomatology Bamako, Mali
Mamadou Lamine Diakite

Department of Urology, Point G University Hospital, University of science, Technic and technology of Bamako, Faculty of Medicine and Odontostomatology Bamako, Mali

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APA Style

Amadou Kassogue, Alkadri Diarra, Honore Jean Gabriel Berthe, Moussa Salifou Diallo, Mamadou Tidiani Coulibaly, et al. (2019). Extensive Trauma of Male External Genitalia in Children: A Case Report. Clinical Medicine Research, 8(2), 53-55. https://doi.org/10.11648/j.cmr.20190802.14

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ACS Style

Amadou Kassogue; Alkadri Diarra; Honore Jean Gabriel Berthe; Moussa Salifou Diallo; Mamadou Tidiani Coulibaly, et al. Extensive Trauma of Male External Genitalia in Children: A Case Report. Clin. Med. Res. 2019, 8(2), 53-55. doi: 10.11648/j.cmr.20190802.14

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AMA Style

Amadou Kassogue, Alkadri Diarra, Honore Jean Gabriel Berthe, Moussa Salifou Diallo, Mamadou Tidiani Coulibaly, et al. Extensive Trauma of Male External Genitalia in Children: A Case Report. Clin Med Res. 2019;8(2):53-55. doi: 10.11648/j.cmr.20190802.14

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@article{10.11648/j.cmr.20190802.14,
  author = {Amadou Kassogue and Alkadri Diarra and Honore Jean Gabriel Berthe and Moussa Salifou Diallo and Mamadou Tidiani Coulibaly and Dramane Nafo Cisse and Mamadou Lamine Diakite},
  title = {Extensive Trauma of Male External Genitalia in Children:  A Case Report},
  journal = {Clinical Medicine Research},
  volume = {8},
  number = {2},
  pages = {53-55},
  doi = {10.11648/j.cmr.20190802.14},
  url = {https://doi.org/10.11648/j.cmr.20190802.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20190802.14},
  abstract = {The trauma with grinding of the external genitalia is a urological emergency. Management is surgical (trimming, orchidopexy, orchiectomy). Male genital lesions, while rarely life threatening, require prompt and appropriate management to prevent long-term sexual and psychological damage. The management of these lesions is a challenge for the urologist. It is medicolegal and in the child a consent must be given by the family before the treatment. Mr. K A, 10-year-old child, admitted to the Emergency Department of the Bocar S Sall Teaching Hospital in Kati for a road accident, resulting in trauma to the external genitalia. On examination, the general condition was satisfactory, the open scrotum showing the two testicles, the naked penis. The abdominopelvic ultrasound was normal. The radiograph of the pelvis had objectified fractures in the iliac bones. A trauma and ophthalmological opinion was requested. Informed consent was given to the family for possible erectile dysfunction and fertility disorders. We performed a suprapubic catheterization under triple antibiotherapy, trimming, bilateral orchidopexy. The evolution was marked by superinfection with tissue necrosis leading to the loss of the right testicle. We report an unusual case of trauma with external genitalia crushing in the child.},
 year = {2019}
}

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