Trauma of the Male Genitals in the Teaching Hospital Sylvanus Olympio of Lome: Lesional and Therapeutic Aspects  

作　　者：Kodjo Tengue Edoé Viyomé Sewa Komi Hola Sikpa Gnimdou Botcho Essodina Padja Matchonna Tchilabalo Kpatcha Ekoué David Dosseh Kodjo Tengue;Edoé Viyomé Sewa;Komi Hola Sikpa;Gnimdou Botcho;Essodina Padja;Matchonna Tchilabalo Kpatcha;Ekoué David Dosseh(Department of Urology, University Teaching Hospital of Lomé, Lomé, Togo;Department of Urology, University Teaching Hospital of Kara, Kara, Togo;Department of Surgery, University Teaching Hospital of Lomé, Lomé, Togo)

机构地区：[1]Department of Urology, University Teaching Hospital of Lomé, Lomé, Togo [2]Department of Urology, University Teaching Hospital of Kara, Kara, Togo [3]Department of Surgery, University Teaching Hospital of Lomé, Lomé, Togo

出　　处：《Open Journal of Urology》2021年第2期31-35,共5页泌尿学期刊（英文）

摘　　要：<strong>Introduction:</strong> Trauma of the external male genital organs (TEMGO) is multifaceted and rare. The objective of this work was to provide an overview of these lesions by describing the epidemiology, the diagnostic approach, their therapeutic and prognostic aspects. <strong>Materials and Methods:</strong> It was a retrospective study carried out over a ten-year period, from January 1, 2009 to December 31, 2018. It included male patients, admitted and treated in surgical emergencies and in the urology department of the Sylvanus Olympio Teaching Hospital in Lomé for trauma of male external genital organs. <strong>Results:</strong> Thirty-five cases had been collected. They had represented 1.5% of urological emergencies. The subjects were young with a mean age of 29.6 ± 3.1 years, with extremes of 18 and 60 years. Trauma to the penis was more frequent and found in 60% of cases, with the mechanism of coitus misstep in 54.3%, leading to a fracture of the penis. Testicular contusions were found in 22.9% of the cases. The ultrasound was performed in 6 patients. Four orchidectomies were performed for an unsustainable testicle found at scrototomy. The postoperative had been simple in all cases. Fifteen patients (42.8%) had been regularly followed on 18 months. Residual testicular pain and mode-rate erectile dysfunction was noted respectively in 3 and 2 patients. <strong>Conclusion:</strong> TEMGO, although rare, require perfect knowledge for adequate therapeutic decisions, as they can compromise the functional prognosis of concerned organs.<strong>Introduction:</strong> Trauma of the external male genital organs (TEMGO) is multifaceted and rare. The objective of this work was to provide an overview of these lesions by describing the epidemiology, the diagnostic approach, their therapeutic and prognostic aspects. <strong>Materials and Methods:</strong> It was a retrospective study carried out over a ten-year period, from January 1, 2009 to December 31, 2018. It included male patients, admitted and treated in surgical emergencies and in the urology department of the Sylvanus Olympio Teaching Hospital in Lomé for trauma of male external genital organs. <strong>Results:</strong> Thirty-five cases had been collected. They had represented 1.5% of urological emergencies. The subjects were young with a mean age of 29.6 ± 3.1 years, with extremes of 18 and 60 years. Trauma to the penis was more frequent and found in 60% of cases, with the mechanism of coitus misstep in 54.3%, leading to a fracture of the penis. Testicular contusions were found in 22.9% of the cases. The ultrasound was performed in 6 patients. Four orchidectomies were performed for an unsustainable testicle found at scrototomy. The postoperative had been simple in all cases. Fifteen patients (42.8%) had been regularly followed on 18 months. Residual testicular pain and mode-rate erectile dysfunction was noted respectively in 3 and 2 patients. <strong>Conclusion:</strong> TEMGO, although rare, require perfect knowledge for adequate therapeutic decisions, as they can compromise the functional prognosis of concerned organs.

关 键 词：Genital Organs TRAUMA Scrototomy TOGO 

分 类 号：R73[医药卫生—肿瘤]