title: Self-Inflicted Nailgun-Induced Penetrating Penile Injury: Case Report and Discussion.
abstract: Penetrating penile injuries occur mostly in industrial/work accidents, automobile accidents, or as a result of sexual curiosity and attempts at self-expression/mutilation. In this case report, the authors describe an accidental nailgun injury to the penis of a 46-year-old man. We discuss the management of such injuries in the emergency department, including the utility of a dorsal penile block for regional anesthesia. Although exceptionally rare, familiarity with penetrating lower urinary tract injuries may reduce their long-term repercussions on genitourinary and sexual health.
authors.affiliation: *Division of Emergency Medicine,Department of Medicine,McMaster University,Hamilton,ON.
authors.forename: Jeremy Mark
authors.initials: JM
authors.lastname: Hernandez
authors.affiliation: *Division of Emergency Medicine,Department of Medicine,McMaster University,Hamilton,ON.
authors.forename: David
authors.initials: D
authors.lastname: Hamilton
authors.affiliation: *Division of Emergency Medicine,Department of Medicine,McMaster University,Hamilton,ON.
authors.forename: Suneel
authors.initials: S
authors.lastname: Upadhye
mesh_terms: D060389:Construction Industry / Q000295:instrumentation*; D020878:Device Removal; D004636:Emergency Service, Hospital; D004638:Emergency Treatment / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D060051:Occupational Injuries / Q000175:diagnosis / Q000601:surgery*; D018570:Risk Assessment; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*
keywords: Penetrating penile injury; dorsal penile block; lower urinary tract