Furr James, Culkin Daniel
Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Int Urol Nephrol. 2017 Apr;49(4):553-561. doi: 10.1007/s11255-017-1526-x. Epub 2017 Feb 8.
While rare, trauma and injury to the male external genitalia can result in significant consequences regarding function, appearance, psychological effects, and overall quality of life. Due to the relative paucity of literature regarding male external genitalia injuries, few standardized protocols exist. This review aims to outline common clinical causes of male external genitalia injuries by both anatomic location and etiology. Initial stabilization, long-term reconstruction, and coverage options are discussed in detail. Outcomes of complex grafts have favorable success rates of 90-100% in the hands of experienced surgeons. Outcomes of penile, testicular trauma also have favorable outcomes when managed appropriately. Attempts at reconstruction after initial injury stabilization should be undertaken at high-volume centers where a multidisciplinary approach can be employed. This manuscript will be an excellent reference and source that can provide direction for evaluation and management of these complex presentations.
虽然男性外生殖器的创伤和损伤较为罕见，但可能会在功能、外观、心理影响和整体生活质量方面导致严重后果。由于关于男性外生殖器损伤的文献相对较少，几乎没有标准化的治疗方案。本综述旨在按解剖位置和病因概述男性外生殖器损伤的常见临床原因。详细讨论了初始稳定治疗、长期重建和覆盖方案。在经验丰富的外科医生手中，复杂移植物的成功率高达90% - 100%。阴茎、睾丸创伤在得到适当处理时也会有良好的结果。在初始损伤稳定后进行重建的尝试应在能够采用多学科方法的大型中心进行。本手稿将是一份出色的参考文献和资料来源，可为这些复杂病症的评估和管理提供指导。
