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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2020, Number 1

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Rev Mex Urol 2020; 80 (1)

Penile tear from a dog bite: A case report and narrative review of the literature

Gómez-Palomo F, Gutiérrez-Zurimendi G, Bonillo-García MÁ, García-Garcés L, Bernal-Gómez A, Broseta RE, Boronat-Tormo F
Full text How to cite this article

Language: Spanish
References: 9
Page: 1-7
PDF size: 235.66 Kb.


Key words:

Dog bite, External genitals, Penis, Reconstructive surgery, Surgical wound.

ABSTRACT

Clinical case description: A 55-year-old man came to the hospital emergency service after being bitten in the penis by his dog. The accident caused several lesions on the glans penis and circumferential avulsion of the skin from the balanopreputial sulcus to thebase of the penis. The scrotum, testes, corpora cavernosa, and urethra were intact.
Relevance: Genital trauma from an animal bite is a complex lesion, given that it involves a contaminated wound with a high risk of infection and complication because it can compromise the integrity of the urethra and corpora cavernosa of the patient. Due to the rareness of those types of lesions, there are no clinical guidelines establishing their correct management.
Conclusion: More studies with greater scientific evidence are needed to aid in the formulation of standardized clinical practice guidelines, enabling improved functional and cosmetic results in those patients.


REFERENCES

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  2. Gomes Cristiano M., Ribeiro-Filho Leopoldo, Giron Amilcar M., Mitre Anuar I., Figueira Estela R.r., Arap Sami. Genital trauma due to animal bites. Journal of Urology. 2001 Jan 1;165(1):80–3. doi: https://doi. org/10.1097/00005392-200101000-00020

  3. Bothra R, Bhat A, Saxena G, Chaudhary G, Narang V. Dog bite injuries of genitalia in male infant and children. Urol Ann. 2011;3(3):167–9. doi: https://dx.doi. org/10.4103%2F0974-7796.84949

  4. Bertozzi M, Appignani A. The management of dog bite injuries of genitalia in paediatric age. African Journal of Paediatric Surgery. 2013 Jan 7;10(3):205. doi: https://doi. org/10.4103/0189-6725.120875

  5. Nabi G, Mishriki S. Bite wounds of genitalia: clinical presentation and management. Br J Hosp Med. 2005 Feb 1;66(2):112–3. doi: https:// doi.org/10.12968/hmed.2005.66.2.17560

  6. Callaham M. Controversies in antibiotic choices for bite wounds. Annals of Emergency Medicine. 1988 Dec 1;17(12):1321–9. doi: https://doi. org/10.1016/S0196-0644(88)80359-7

  7. Aineskog H, Huss F. A case report of a complete degloving injury of the penile skin. International Journal of Surgery Case Reports. 2016 Jan 1;29:1–3. doi: https://doi.org/10.1016/j. ijscr.2016.10.024

  8. Presutti RJ. Prevention and Treatment of Dog Bites. AFP. 2001 Apr 15;63(8):1567.

  9. Stuart Wolf J., Turzan Charles, Cattolica Eugene V., Mcaninch Jack W. Dog Bites to the Male Genitalia: Characteristics, Management and Comparison with Human Bites. Journal of Urology. 1993 Feb 1;149(2):286–9. doi: https:// doi.org/10.1016/S0022-5347(17)36058-5




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Rev Mex Urol. 2020;80