Raina Pamposh, Sharma Girish Kumar, Barwal Kailash Chander, Kumar Manjeet, Chauhan Sanjeev
Department of Urology, IGMC, Shimla, Himachal Pradesh, India.
J Indian Assoc Pediatr Surg. 2022 Jul-Aug;27(4):491-494. doi: 10.4103/jiaps.jiaps_121_21. Epub 2022 Jul 26.
Injuries to male genitalia of infants due to bite of a pet pup are a rare occurrence. Few dog bite injuries to the genitalia of male infants have been reported, however, similar injuries have not been reported by the bite of pet puppies. Male genital injury in three male infants aged 8, 10, and 11 months, by the bite of pet puppies aged 1-2 months, ranged from avulsion of penile and part of scrotal skin with loss of both testes in case 1, a near circumferential laceration of penile skin at the base of penis with scrotal laceration in case 2, and laceration in mid penile shaft resulting in degloving and complete transaction of distal penile urethra with scrotal laceration in case 3. All these infants were appropriately managed surgically (case 1 and 3) and conservatively (case 2) and were given thorough toileting of wound, antibiotics, prophylaxis for tetanus and rabies. Some of these injuries may require complex surgical procedures to reconstruct the male genitalia. Timely management with aggressive intent and conserving the local tissue is the key to success. We describe a case series of injury to the external genitalia of three male infants by the bite of pet puppies, their possible predisposing factors, treatment, and follow-up. A case report and series like this have not been reported in literature so far to the best of our knowledge.
宠物幼犬咬伤导致男婴男性生殖器损伤是一种罕见的情况。虽有少数关于男婴生殖器被狗咬伤的报道，但宠物幼犬咬伤导致类似损伤的情况尚未见报道。3名年龄分别为8个月、10个月和11个月的男婴被1 - 2个月大的宠物幼犬咬伤，生殖器损伤情况如下：病例1为阴茎和部分阴囊皮肤撕脱，双侧睾丸缺失；病例2为阴茎根部阴茎皮肤近环形撕裂伴阴囊撕裂；病例3为阴茎中段撕裂，导致阴茎远端尿道脱套和完全离断伴阴囊撕裂。所有这些婴儿均接受了适当的手术治疗（病例1和3）和保守治疗（病例2），并对伤口进行了彻底清洗，给予了抗生素、破伤风和狂犬病预防治疗。其中一些损伤可能需要复杂的外科手术来重建男性生殖器。积极及时处理并保留局部组织是成功的关键。我们描述了一组3名男婴被宠物幼犬咬伤外生殖器的病例系列，包括其可能的诱发因素、治疗及随访情况。据我们所知，迄今为止文献中尚未报道过这样的病例报告和病例系列。
