Taumatic Emergencies of the External Genital Organs  

作　　者：Avion Kouassi Patrice Akassimadou N’diamoi Ouattara Fatoumata Aguia Brice Zouan Fredy Alloka Venance Camara Sadia Bony Gnissan Kramo Nykan Anzoua Kacou Dje Koffi Avion Kouassi Patrice;Akassimadou N’diamoi;Ouattara Fatoumata;Aguia Brice;Zouan Fredy;Alloka Venance;Camara Sadia;Bony Gnissan;Kramo Nykan;Anzoua Kacou;Dje Koffi(Department of Urology, University Hospital Center of Bouake, Bouake, Ivory Coast;Laboratory of Anatomy, Department of Urology, University Hospital Center of Treichville, Abidjan, Ivory Coast;Department of Urology, University Hospital Center of Cocody, Abidjan, Ivory Coast;Department of General Surgery, University Center of Bouake, Bouake, Ivory Coast)

机构地区：[1]Department of Urology, University Hospital Center of Bouake, Bouake, Ivory Coast [2]Laboratory of Anatomy, Department of Urology, University Hospital Center of Treichville, Abidjan, Ivory Coast [3]Department of Urology, University Hospital Center of Cocody, Abidjan, Ivory Coast [4]Department of General Surgery, University Center of Bouake, Bouake, Ivory Coast

出　　处：《Open Journal of Urology》2021年第6期214-225,共12页泌尿学期刊（英文）

摘　　要：<strong>Background:</strong> The traumas of scrotum are often traumas caused by accidents on the public highway or in sport. However, fractures of the penis are secondary to a direct trauma to the penis with rupture of the albuginea causing hematoma, pain and deviation of the penis. Animal bites are rare. <strong>Purpose:</strong> To describe the management of traumatic emergencies of the external genital organs at the CHU Bouaké. <strong>Patients and Methods:</strong> Retrospective and descriptive study on the patients treated at Bouaké University Hospital for traumatic emergencies of the external genital organs during the period from January 01, 2012 to December 31, 2018. The parameters studied were epidemiological, clinical and therapeutic. <strong>Results:</strong> The study period registered 26 patients. The mean age was 34.5 years, Closed trauma to the scrotum was a frequent reason with 30.8%, the trauma sat on the scrotum in 53.8%, the penis in 42.3%, the vulva in 3.8% of cases. The circumstances of discovery of trauma to the penis were dominated by coitus missteps (45.5%), on the stock exchange and vulva by accidents on the public highway (60.8%). Scrotal swelling was the frequent clinical sign (26.9%). Treatment was dominated by surgery in 92.30%. Seven patients (29.16%) underwent exploratory scrototomy associated with hematoma evacuation, five patients (20.83%), a simple trimming, five patients (20.83%), an evacuation of the hematoma associated with a cavernous suture, one patient (4.16%), a trimming associated with a suture of the vulva, one patient (4.16%), a trimming associated with a right orchiectomy. The hospital stay was less than 5 days. The course was simple in 92.30% of the cases;two patients (7.7%) had complications such as testicular necrosis and atrophy which have been treated by orchidectomy. <strong>Conclusion:</strong> Traumatic emergencies of the external genitalia are rare but serious. Treatment is dominated by surgery.<strong>Background:</strong> The traumas of scrotum are often traumas caused by accidents on the public highway or in sport. However, fractures of the penis are secondary to a direct trauma to the penis with rupture of the albuginea causing hematoma, pain and deviation of the penis. Animal bites are rare. <strong>Purpose:</strong> To describe the management of traumatic emergencies of the external genital organs at the CHU Bouaké. <strong>Patients and Methods:</strong> Retrospective and descriptive study on the patients treated at Bouaké University Hospital for traumatic emergencies of the external genital organs during the period from January 01, 2012 to December 31, 2018. The parameters studied were epidemiological, clinical and therapeutic. <strong>Results:</strong> The study period registered 26 patients. The mean age was 34.5 years, Closed trauma to the scrotum was a frequent reason with 30.8%, the trauma sat on the scrotum in 53.8%, the penis in 42.3%, the vulva in 3.8% of cases. The circumstances of discovery of trauma to the penis were dominated by coitus missteps (45.5%), on the stock exchange and vulva by accidents on the public highway (60.8%). Scrotal swelling was the frequent clinical sign (26.9%). Treatment was dominated by surgery in 92.30%. Seven patients (29.16%) underwent exploratory scrototomy associated with hematoma evacuation, five patients (20.83%), a simple trimming, five patients (20.83%), an evacuation of the hematoma associated with a cavernous suture, one patient (4.16%), a trimming associated with a suture of the vulva, one patient (4.16%), a trimming associated with a right orchiectomy. The hospital stay was less than 5 days. The course was simple in 92.30% of the cases;two patients (7.7%) had complications such as testicular necrosis and atrophy which have been treated by orchidectomy. <strong>Conclusion:</strong> Traumatic emergencies of the external genitalia are rare but serious. Treatment is dominated by surgery.

关 键 词：ORCHIDECTOMY Scrototomy TESTICLE Trauma VULVA 

分 类 号：R65[医药卫生—外科学]