Cavalcanti Andre G, Krambeck Renato, Araujo Alexandre, Manes Carlos H, Favorito Luciano A
Section of Urology, Souza Aguiar Municipal Hospital, Rio de Janeiro, RJ, Brazil.
Int Braz J Urol. 2006 Jan-Feb;32(1):56-60; discussion 60-3. doi: 10.1590/s1677-55382006000100009.
To demonstrate the main aspects of diagnosis, treatment and follow-up of 43 patients with gunshot wounds to the penis.
The location of the lesion, the presence of associated lesions, the performance of complementary exams, surgical treatment, postoperative complications and long term follow-up of 43 patients with penile lesions from gunshot wounds were retrospectively analyzed.
Of 43 cases assessed, 41 were submitted to surgical exploration (95.3%) and 2 were submitted to conservative treatment (4.7%). We found penile lesions involving the corpus cavernosum in 37 cases; the remaining 4 patients presented no lesions involving the corpus cavernosum, urethra or testicles but did in the superficial structures. Ten cases presented an association with testicular lesions and 14 cases association with anterior urethral lesions.
Penile lesions from gunshot wounds should be treated with immediate surgical intervention. In exceptional situations featuring superficial lesions only conservative treatment may be applied.
阐述43例阴茎枪伤患者的诊断、治疗及随访的主要方面。
回顾性分析43例阴茎枪伤患者的损伤部位、相关损伤的存在情况、辅助检查的实施情况、手术治疗、术后并发症及长期随访情况。
在评估的43例病例中，41例接受了手术探查（95.3%），2例接受了保守治疗（4.7%）。我们发现37例阴茎损伤累及海绵体；其余4例患者未出现累及海绵体、尿道或睾丸的损伤，但浅表结构有损伤。10例伴有睾丸损伤，14例伴有前尿道损伤。
阴茎枪伤应立即进行手术干预治疗。在仅存在浅表损伤的特殊情况下，可采用保守治疗。
