Penile injuries in children.

OBJECTIVE: Penile injuries are not rare in children. Our aim is to establish their causes and to report our experience in the management of those accidents.

MATERIAL AND METHODS: A retrospective study of all penile injuries presented from January 2009 to January 2017 was performed. Hemorrhage and excess of mucosa or skin remnants are the most frequent and benign injuries after circumcisions, so they were excluded from the study.

RESULTS: Four groups were reported including the circumcision accident group, the traumatic accident group, the strangulation group and the electrocution group. The most frequent cause was circumcision accidents. We performed a penile re-implantation in one, and a glans re-implantation in another patient. Two patients underwent phalloplasty using the stumps of the remaining corpora cavernosa. We performed nine fistulae repair. Follow up showed healing without complication in the majority of the patients but recurrence of fistula was witnessed in four patients.

CONCLUSION: Penile injuries are frequent with a challenging management. Most of the accidents can be prevented by improving conditions of circumcision.