Miles B J, Poffenberger R J, Farah R N, Moore S
Department of Urology, Henry Ford Hospital, Detroit, Michigan.
Urology. 1990 Oct;36(4):318-21. doi: 10.1016/0090-4295(90)80237-h.
The management of 10 cases of penile gunshot wounds treated at Henry Ford Hospital from 1982 to 1986 is reviewed. All patients were assaulted by low velocity weapons (handguns). Eight patients had associated injuries, predominantly to the genital region (thigh, pubis, and scrotum). There were 5 urethral injuries; 4 were treated with primary repair, the remaining patient underwent delayed repair, complicated by severe urethral strictures requiring reoperation. Blood at the urethral meatus was suggestive of urethral injury but microscopic hematuria was not. Five penile injuries did not involve the urethra and were treated by debridement and primary wound closure with no immediate or delayed complications. In dealing with these injuries we recommend a high index of suspicion for urethral and regional organ injury and primary urethral closure if at all possible.
回顾了1982年至1986年在亨利·福特医院治疗的10例阴茎枪伤病例的处理情况。所有患者均受到低速武器（手枪）袭击。8例患者伴有其他损伤，主要累及生殖器区域（大腿、耻骨和阴囊）。有5例尿道损伤；4例接受了一期修复，其余患者接受了延迟修复，并发严重尿道狭窄，需要再次手术。尿道口有血提示尿道损伤，但镜下血尿则不然。5例阴茎损伤未累及尿道，通过清创和一期伤口缝合治疗，无即刻或延迟并发症。在处理这些损伤时，我们建议对尿道和区域器官损伤保持高度怀疑，如果可能的话，应进行一期尿道闭合。
