2017, Number 5
Rev Mex Urol 2017; 77 (5)
Piñón-Solís EO, Morales-Ordaz O, Gil-García JF, Lujano-Pedraza H, Valdez-Colín JA, Noyola-Guadarrama A, Michel-Ramírez JM
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ABSTRACTBackground: High-voltage electrical burns are uncommon and can cause multisystemic lesions with high morbidity and mortality. When they involve the penis, they are devastating, affecting erectile function, quality of life, and the psychologic aspect of the patient.
Clinic case: A 28-year-old man was brought to the emergency room of the Centro Médico Adolfo López Mateos (ISEM) with a high-voltage electrical burn affecting the genitals. Physical examination revealed lesions in the right forearm and the penis, with necrosis and loss of function of the urethra, corpora cavernosa, and corpus spongiosum at the distal two thirds, and bladder distension with acute urinary retention. Suprapubic cystostomy, extensive debridement of the necrotic tissue, and partial penectomy were performed, with no postoperative incidents. The patient is currently under the treatment protocol for anatomic penile reconstruction and voiding function preservation.
Conclusions: Electrical burns affecting the genitals are exceptional. Penile preservation and functional recovery are among the most important surgical-urologic treatment options in young patients.