Bothra Robin, Bhat Amilal, Saxena Gajendra, Chaudhary Gautam, Narang Vishrut
Department of Urology, S.P. Medical College, Bikaner, Rajasthan, India.
Urol Ann. 2011 Sep;3(3):167-9. doi: 10.4103/0974-7796.84949.
The aim of the study is to highlight genital dog bites in male infant and children in developing countries and their management. We managed three cases (9 months, 5 years, and 8 years) of genital dog bite between January 1997 and July 2008. Two had unprovoked stray dog bites and the third was bitten by his pet dog when disturbed during eating. Extent of injury varied from small-lacerated wound to near emasculation. Primary repair was done after thorough washing and debridement under antibiotic cover. In the 9-month-old male infant who was near emasculated, scrotum was closed with the available skin and a small penile stump was reconstructed after meatoplasty. Immunization against tetanus and rabies was done for all cases. Postoperative recovery was uneventful, and the wound healed primarily in all cases. Parents of the infant were asked for feminizing genitoplasty but they refused so they were advised for hormonal replacement and penile reconstruction at adolescence. Male children are the most common victims of genital dog bites. These injuries can be repaired primarily with good outcome provided strict cleaning, debridement, wound repair, antibiotic cover, and immunization is applied.
本研究的目的是强调发展中国家男童和儿童的生殖器犬咬伤情况及其处理。1997年1月至2008年7月期间，我们处理了3例（分别为9个月、5岁和8岁）生殖器犬咬伤病例。其中2例是被无端流浪犬咬伤，第3例是在进食时受到干扰被其宠物犬咬伤。损伤程度从小的撕裂伤至近乎去势不等。在抗生素覆盖下彻底冲洗和清创后进行一期修复。对于近乎去势的9个月大男婴，用可用皮肤关闭阴囊，并在尿道口成形术后重建一小段阴茎残端。所有病例均进行了破伤风和狂犬病免疫接种。术后恢复顺利，所有病例伤口均一期愈合。我们向男婴的父母询问是否进行女性化生殖器成形术，但他们拒绝了，因此建议他们在青春期进行激素替代和阴茎重建。男童是生殖器犬咬伤最常见的受害者。只要严格进行清洁、清创、伤口修复、抗生素覆盖和免疫接种，这些损伤可进行一期修复且效果良好。
