Penile lesion from gunshot wound: a 43-case experience.
OBJECTIVE
To demonstrate the main aspects of diagnosis, treatment and follow-up of 43 patients with gunshot wounds to the penis.


METHODS
The location of the lesion, the presence of associated lesions, the performance of complementary exams, surgical treatment, postoperative complications and long term follow-up of 43 patients with penile lesions from gunshot wounds were retrospectively analyzed.


RESULTS
Of 43 cases assessed, 41 were submitted to surgical exploration (95.3%) and 2 were submitted to conservative treatment (4.7%). We found penile lesions involving the corpus cavernosum in 37 cases; the remaining 4 patients presented no lesions involving the corpus cavernosum, urethra or testicles but did in the superficial structures. Ten cases presented an association with testicular lesions and 14 cases association with anterior urethral lesions.


CONCLUSIONS
Penile lesions from gunshot wounds should be treated with immediate surgical intervention. In exceptional situations featuring superficial lesions only conservative treatment may be applied.
Cavalcanti
Andre G
AG
Section of Urology, Souza Aguiar Municipal Hospital, Rio de Janeiro, RJ, Brazil.
Krambeck
Renato
R
Araujo
Alexandre
A
Manes
Carlos H
CH
Favorito
Luciano A
LA
D000293:Adolescent; D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000293:injuries* / Q000601:surgery; D012189:Retrospective Studies; D013737:Testis / Q000293:injuries; D014521:Urethra / Q000293:injuries; D014948:Wounds, Gunshot / Q000601:surgery*