Górka Gabriela D, Gładkowska Julia, Bodziacka Agata, Wanyura Anna, Wolski Marek
Department of Paediatric Surgery, Medical University of Warsaw, Warsaw, Poland.
Department of Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland.
Am J Case Rep. 2025 Jan 5;26:e946156. doi: 10.12659/AJCR.946156.
BACKGROUND Perineal injuries affecting the scrotum and penis are rare in pediatric patients, owing to the protective anatomy of the male genitalia. However, when such injuries do occur, timely surgical intervention is crucial. This kind of damage might not be life-threatening but could cause functional disorders and have a huge impact on the patients' psychological condition if not treated appropriately, especially as they enter puberty. This case illustrates the successful management of a severe genital injury in a young child. CASE REPORT We present the case of an 8-year-old boy who sustained a penile degloving injury extending from the glans to the penile base, exposing the suspensory ligament, both spermatic cords, and ruptured scrotal skin, due to sliding of an agricultural machine. Immediate surgical intervention involved replantation of the penile skin and closure of the scrotal wound with absorbable sutures. Postoperative care focused on infection prevention with appropriate antibiotics and daily dressing changes. The monitoring of the graft was essential to detect any signs of necrosis. CONCLUSIONS The 6-month follow-up of our patient showed that the performed procedure and appropriate medical approach led to full recovery and satisfactory esthetic results, without dysfunction of the male genitals or urethra. Through this case, we emphasize that, with rapid surgical intervention and proper postoperative care, pediatric patients with similar injuries can achieve full recovery. However, long-term follow-up until adulthood is recommended to monitor for potential complications that can arise later in the patient's life.
由于男性生殖器的保护结构，儿科患者中影响阴囊和阴茎的会阴损伤很少见。然而，当此类损伤确实发生时，及时的手术干预至关重要。这种损伤可能不会危及生命，但如果治疗不当，可能会导致功能障碍，并对患者的心理状况产生巨大影响，尤其是在他们进入青春期时。本病例说明了一名幼儿严重生殖器损伤的成功处理。病例报告：我们报告一例8岁男孩，因农用机器滑动导致阴茎脱套伤，从龟头延伸至阴茎根部，悬韧带、双侧精索暴露，阴囊皮肤破裂。立即进行的手术干预包括阴茎皮肤再植和用可吸收缝线缝合阴囊伤口。术后护理重点是使用适当的抗生素预防感染和每天更换敷料。对移植物的监测对于检测任何坏死迹象至关重要。结论：对我们患者的6个月随访表明，所进行的手术和适当的医疗方法导致了完全康复和令人满意的美学效果，男性生殖器或尿道无功能障碍。通过这个病例，我们强调，通过快速的手术干预和适当的术后护理，患有类似损伤的儿科患者可以实现完全康复。然而，建议进行长期随访直至成年，以监测患者后期可能出现的潜在并发症。
