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Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report

BACKGROUND: Penile trauma due to the associated stigma poses a diagnostic challenge. The causes of isolated penile injuries include zipper injuries (mainly in children), falls, burns, during fellatio, self-mutilation (Klingsor syndrome), and rarely purposeful forceful bending of the erect penis (Taq...

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Detalles Bibliográficos
Autores principales: Patel, Neil, Kaka, Nirja, Sharma, Pradeep, Mahajan, Neha, Ansari, Rehnuma, Sethi, Yashendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364008/
https://www.ncbi.nlm.nih.gov/pubmed/37492790
http://dx.doi.org/10.21037/acr-22-60
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author Patel, Neil
Kaka, Nirja
Sharma, Pradeep
Mahajan, Neha
Ansari, Rehnuma
Sethi, Yashendra
author_facet Patel, Neil
Kaka, Nirja
Sharma, Pradeep
Mahajan, Neha
Ansari, Rehnuma
Sethi, Yashendra
author_sort Patel, Neil
collection PubMed
description BACKGROUND: Penile trauma due to the associated stigma poses a diagnostic challenge. The causes of isolated penile injuries include zipper injuries (mainly in children), falls, burns, during fellatio, self-mutilation (Klingsor syndrome), and rarely purposeful forceful bending of the erect penis (Taqaandan). Delayed management of penile trauma might increase the risk of infection, rarely leading to sepsis acutely or structural and functional disabilities in the long run. We believe our report is the first to contribute data on a patient with a delayed presentation of contaminated penile wound who recovered well with prompt management. CASE DESCRIPTION: A traumatic laceration of the penis due to a fall from stairs is extremely unexpected. Here we present the case of a 14-year-old boy who slipped from the stairs and got an isolated American Association for the Surgery of Trauma (AAST) Grade-1 ventrolateral penile skin laceration. He took home remedies for 10 days before reporting with a contaminated wound. The patient was first managed conservatively with antibiotics [Amoxyclav 625 mg thrice daily (TDS) and Metronidazole 400 mg TDS], wound care, and then treated surgically, helping wound repair. He recovered well after the treatment and retained normal urinary and sexual function. CONCLUSIONS: Penile trauma is severely under-reported due to the stigma associated with it. Early diagnosis and prompt management are imperative to limit complications. A detailed history helps to evaluate the exact cause and check out possibilities of sexual assault. Appropriate management in tandem with patient education and an attempt to de-stigmatize the interaction helps favorable long-term outcomes.
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spelling pubmed-103640082023-07-25 Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report Patel, Neil Kaka, Nirja Sharma, Pradeep Mahajan, Neha Ansari, Rehnuma Sethi, Yashendra AME Case Rep Case Report BACKGROUND: Penile trauma due to the associated stigma poses a diagnostic challenge. The causes of isolated penile injuries include zipper injuries (mainly in children), falls, burns, during fellatio, self-mutilation (Klingsor syndrome), and rarely purposeful forceful bending of the erect penis (Taqaandan). Delayed management of penile trauma might increase the risk of infection, rarely leading to sepsis acutely or structural and functional disabilities in the long run. We believe our report is the first to contribute data on a patient with a delayed presentation of contaminated penile wound who recovered well with prompt management. CASE DESCRIPTION: A traumatic laceration of the penis due to a fall from stairs is extremely unexpected. Here we present the case of a 14-year-old boy who slipped from the stairs and got an isolated American Association for the Surgery of Trauma (AAST) Grade-1 ventrolateral penile skin laceration. He took home remedies for 10 days before reporting with a contaminated wound. The patient was first managed conservatively with antibiotics [Amoxyclav 625 mg thrice daily (TDS) and Metronidazole 400 mg TDS], wound care, and then treated surgically, helping wound repair. He recovered well after the treatment and retained normal urinary and sexual function. CONCLUSIONS: Penile trauma is severely under-reported due to the stigma associated with it. Early diagnosis and prompt management are imperative to limit complications. A detailed history helps to evaluate the exact cause and check out possibilities of sexual assault. Appropriate management in tandem with patient education and an attempt to de-stigmatize the interaction helps favorable long-term outcomes. AME Publishing Company 2023-05-08 /pmc/articles/PMC10364008/ /pubmed/37492790 http://dx.doi.org/10.21037/acr-22-60 Text en 2023 AME Case Reports. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Case Report
Patel, Neil
Kaka, Nirja
Sharma, Pradeep
Mahajan, Neha
Ansari, Rehnuma
Sethi, Yashendra
Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report
title Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report
title_full Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report
title_fullStr Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report
title_full_unstemmed Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report
title_short Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report
title_sort good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364008/
https://www.ncbi.nlm.nih.gov/pubmed/37492790
http://dx.doi.org/10.21037/acr-22-60
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