Wolf J S, Turzan C, Cattolica E V, McAninch J W
Department of Urology, University of California School of Medicine, San Francisco 94143-0738.
J Urol. 1993 Feb;149(2):286-9. doi: 10.1016/s0022-5347(17)36058-5.
Dog bites to the external male genitalia occur infrequently. We present 4 new cases and review 4 others described previously. Victims tend to seek medical care quickly. Thus, morbidity is directly related to the severity of the initial wound and delayed infectious complications appear to be minimal. Guidelines for management include irrigation, debridement as necessary, empiric antibiotics, consideration of tetanus and rabies immunization, and primary wound closure or surgical reconstruction. The differences between dog bites and human bites to the genitalia--primarily interval to presentation and subsequent likelihood of infection--are summarized. Measures to prevent dog bites are discussed.
犬类咬伤男性外生殖器的情况并不常见。我们报告4例新病例，并回顾之前描述的其他4例。受害者往往会迅速寻求医疗救治。因此，发病率与初始伤口的严重程度直接相关，延迟性感染并发症似乎很少。处理指南包括冲洗、必要时清创、经验性使用抗生素、考虑破伤风和狂犬病免疫接种，以及一期伤口缝合或手术重建。总结了犬类咬伤和人类咬伤生殖器之间的差异——主要是就诊间隔时间和随后的感染可能性。还讨论了预防犬类咬伤的措施。
