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Case Reports
. 2023 May 8:7:29.
doi: 10.21037/acr-22-60. eCollection 2023.

Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report

Neil Patel  1 , Nirja Kaka  1 , Pradeep Sharma  2 , Neha Mahajan  2 , Rehnuma Ansari  2 , Yashendra Sethi  2
Affiliations
Case Reports

Good outcome of surgical treatment for contaminated penile wound due to a fall from stairs: a case report

Neil Patel et al. AME Case Rep. .

Abstract

Background: Penile trauma due to the associated stigma poses a diagnostic challenge. The causes of isolated penile injuries include zipper injuries (mainly in children), falls, burns, during fellatio, self-mutilation (Klingsor syndrome), and rarely purposeful forceful bending of the erect penis (Taqaandan). Delayed management of penile trauma might increase the risk of infection, rarely leading to sepsis acutely or structural and functional disabilities in the long run. We believe our report is the first to contribute data on a patient with a delayed presentation of contaminated penile wound who recovered well with prompt management.

Case description: A traumatic laceration of the penis due to a fall from stairs is extremely unexpected. Here we present the case of a 14-year-old boy who slipped from the stairs and got an isolated American Association for the Surgery of Trauma (AAST) Grade-1 ventrolateral penile skin laceration. He took home remedies for 10 days before reporting with a contaminated wound. The patient was first managed conservatively with antibiotics [Amoxyclav 625 mg thrice daily (TDS) and Metronidazole 400 mg TDS], wound care, and then treated surgically, helping wound repair. He recovered well after the treatment and retained normal urinary and sexual function.

Conclusions: Penile trauma is severely under-reported due to the stigma associated with it. Early diagnosis and prompt management are imperative to limit complications. A detailed history helps to evaluate the exact cause and check out possibilities of sexual assault. Appropriate management in tandem with patient education and an attempt to de-stigmatize the interaction helps favorable long-term outcomes.

Keywords: Case report; contaminated wound; laceration; penis; trauma.

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Conflict of interest statement

Conflicts of Interest:All authors have completed the ICMJE uniform disclosure form (available at https://acr.amegroups.com/article/view/10.21037/acr-22-60/coif). The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Laceration penile injury.
Figure 2
Figure 2
Local anesthetic application done at the root of the penis and around the wound.
Figure 3
Figure 3
Wound after sutures.
See this image and copyright information in PMC

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