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Published in: African Journal of Urology 1/2021

Open Access 01-12-2021 | Urethral Injury | Case Reports

Self-inflicted gunshot injury to the external genitalia: a case report and review of literature

Authors: Anselm Okwudili Obi, Augustine Obasi Ulebe, Ugochukwu Uzodinmma Nnadozie, Charles Chidiebele Maduba, Chukwudi Ogonnaya Okorie, Obinna Nnabuife Anikwe

Published in: African Journal of Urology | Issue 1/2021

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Abstract

Background

Gunshot wounds of the external genitalia are rare. Rarer still are civilian self-inflicted gunshot wounds of the external genitalia. The protocol for the management of gunshot wounds of the penis especially with respect to urethral injuries is not fully established.

Case presentation

We present a 27-year-old male undergraduate student, who accidentally shot himself in the penis. He sustained American Association for the Surgery of Trauma (AAST) grades IV to V injuries to the penis, scrotum and left testes. He was managed in a multistage, multi-disciplinary fashion including staged buccal mucosal graft repair of 4 cm proximal penile urethral defect with satisfactory cosmetic and functional outcome.

Conclusions

Excellent functional and cosmetic results may be obtained after severe penetrating trauma to the external genitalia even in low resource centres in the hands of non-reconstructive urologists. Buccal mucosal graft is a viable option for two stage reconstruction of the urethra.
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Metadata
Title
Self-inflicted gunshot injury to the external genitalia: a case report and review of literature
Authors
Anselm Okwudili Obi
Augustine Obasi Ulebe
Ugochukwu Uzodinmma Nnadozie
Charles Chidiebele Maduba
Chukwudi Ogonnaya Okorie
Obinna Nnabuife Anikwe
Publication date
01-12-2021
Publisher
Springer Berlin Heidelberg
Published in
African Journal of Urology / Issue 1/2021
Print ISSN: 1110-5704
Electronic ISSN: 1961-9987
DOI
https://doi.org/10.1186/s12301-021-00123-3

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