Kbirou A, Jandou I, Sayah M, Benhadda H, Moataz A, Dakir M, Debbagh A, Aboutaieb R
Urology Department, Ibn Rochd University Hospital Center, Casablanca, Morocco.
Sexual and Reproductive Health Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morroco.
Ann Med Surg (Lond). 2022 Jun 6;79:103916. doi: 10.1016/j.amsu.2022.103916. eCollection 2022 Jul.
Describe the medico-legal aspects of trauma to the male external genitalia by specifying their epidemiological, clinical, paraclinical, therapeutic and evolutionary characteristics.
Retrospective study spread over a period of 3 years (2017-2019) concerning adult patients with trauma to the male external genitalia consulting in the surgical emergency and forensic medicine departments of the Ibn Rochd University Hospital Center in Casablanca.
We collected 84 cases of TMEG within the framework of evaluation of bodily injury aimed at fixing the duration of Total Temporary Incapacity (TTI) and the rate of Permanent Partial Incapacity (PPI). There was a predominance of bursa trauma (85.7%) followed by penis trauma (14.5%). The average age of the patients was 39 years (17-61 years). Road accidents are the cause of 42% of cases. Regarding bursa trauma, the clinical symptomatology was dominated by pain (100%) and increased scrotal volume (50%). Scrotal ultrasound found the main lesion to be scrotal hematomas (35.71%) followed by ruptures of the tunica albuginea (9.5%). Surgical exploration was indicated in 45.23% of cases, of which (38%) was conservative treatment.For trauma to the penis, the clinical examination revealed 1 case of fracture of the cavernous body, a hematoma of the penis in only 1 patient, a superficial wound of the penis in 1 patient and the rest of the patients (9 cases) showed no lesions. Surgical treatment was indicated in only one patient. The average duration of temporary total incapacity was 17.5 days and the average rate of partial permanent incapacity was 4%.
Physicians who are experts in the evaluation of bodily injury are frequently confronted with the evaluation of the damage resulting from the TMEG. The medico-legal evaluation of these traumas remains difficult and very varied requiring a perfect knowledge of the mechanisms of these traumas, of the therapeutic and evolutionary principles helping in the judicial decision.
通过明确男性外生殖器创伤的流行病学、临床、辅助检查、治疗及演变特征，描述其法医学方面的情况。
对卡萨布兰卡伊本·罗什德大学医院中心外科急诊和法医学科就诊的成年男性外生殖器创伤患者进行为期3年（2017 - 2019年）的回顾性研究。
在旨在确定完全暂时丧失工作能力（TTI）时长和永久部分丧失工作能力（PPI）比率的身体损伤评估框架内，我们收集了84例男性外生殖器创伤（TMEG）病例。以阴囊创伤为主（85.7%），其次是阴茎创伤（14.5%）。患者的平均年龄为39岁（17 - 61岁）。道路交通事故是42%病例的病因。对于阴囊创伤，临床症状以疼痛为主（100%），阴囊体积增大为辅（50%）。阴囊超声检查发现主要病变为阴囊血肿（35.71%），其次是白膜破裂（9.5%）。45.23%的病例需要进行手术探查，其中（38%）为保守治疗。对于阴茎创伤，临床检查发现仅1例海绵体骨折，仅1例患者有阴茎血肿，1例患者有阴茎浅表伤口，其余患者（9例）未发现病变。仅1例患者需要手术治疗。暂时完全丧失工作能力的平均时长为17.5天，永久部分丧失工作能力的平均比率为4%。
身体损伤评估专家经常面临男性外生殖器创伤所致损害的评估。这些创伤的法医学评估仍然困难且差异很大，需要对这些创伤的机制、有助于司法裁决的治疗及演变原则有充分了解。
