title: Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma.
abstract: We present an unusual case of a single gunshot to the genitalia in which the bullet trajectory injured the urethra, corpus cavernosum, and both testicles. All injuries were successfully repaired during initial exploration. Our report serves as a reminder to clinicians to have a high index of suspicion in this circumstance and consider immediate exploration of all the injured areas. We also demonstrate the use of a dartos fascia interposition flap to cover and separate the concomitant urethral and corporal sutures lines. Our dartos flap bolstered the urethral and cavernosal repairs and helped prevent postoperative corporourethral fistula formation.
authors.affiliation: Division of Urology, Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103, USA.
authors.forename: Hailiu
authors.initials: H
authors.lastname: Yang
authors.affiliation: Division of Urology, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, NJ, USA.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Brown
authors.affiliation: Division of Trauma, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, NJ, USA.
authors.forename: John
authors.initials: J
authors.lastname: Chovanes
authors.affiliation: Division of Urology, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, NJ, USA.
authors.forename: Allen D
authors.initials: AD
authors.lastname: Seftel
keywords: Dartos interposition flap; Gunshot wound; Penetrating penile injury; Penetrating urethral injury